Alumni Application Form

Please complete the form below and then click Continue!

 

PERSONAL INFORMATION
Name*
Years as MPWWA Member*
Years of Membership
From:        To:
Street*
OR
PO Box*
City*
Province*
Postal Code*
Phone*
Alternate Phone
e-mail*
Years in Water/Wastewater Industry

FIELD OF WORK
(Check all that apply)
Water Treatment
Water Distribution
Wastewater Treatment
Wastewater Collection
Supplier
Consultant
Federal Government
Provincial Government
Other
Please specify: