Membership Application Form

Click here for information regarding types of membership and associated dues.   Please complete and submit this form.  You will be contacted to finalize the membership application process.  Thank you for your interest in joining the Alliance for Water Efficiency.

Type of Membership - Please select ONE category and complete the accompanying information.

Water Supplier Retail...............................................................Number of connections:

Water Supplier Wholesale................................Water volume sold annually in MGD:

Business and Industry Manufacturers/Distributors..........................Annual revenue:

Business and Industry Consulting Firms/Businesses.......Number of employees:  

Association..........................................................Number of members in association: 

Affiliate.......................................................................................Annual operating budget:  

Government..............................................................Indicate type of Government entity:  

Individual   (unaffiliated citizen, information-only)

I/We concur with the Guiding Principles of the Alliance for Water Efficiency.  

Contact Information

Contact name: *

Title:

Organization:

Address: * 

City: *    State: *

Zip code: *    Country:   

Phone: *     Fax:

E-mail: *

Web site address: 

*Required Field

Please check all that apply:

I/We approve of the Alliance providing a link to our web site 

Please add me to the Alliance e-mail list for news and updates on water efficiency activities 

       Please send me the following :

A summary of the current water efficiency standards in the United States and Canada

Publication offerings 

Case Study Form for posting programs on the Alliance web site

Alliance Strategic Plan