Missouri Rural Water Association Membership

MRWA has three types of membership; System Members, Individual Members, and Associate Members.

System Members are water or wastewater systems; municipalities or districts.

Associate Members are individuals and businesses that have an interest in or provide services to Missouri water and wastewater utilities.

MRWA System Membership

System Membership Information

The best overall membership that covers everyone employed by your system. If you have questions, please contact Member Services Saem Yem at (573) 657-5533 or [email protected].

2022 System Membership Form

System Name*
Please indicate the individual who should receive correspondence. Your assistance in providing the following information will make it easier for the Association staff to meet your system's needs.
Correspondence*
Please choose your role/title from the drop-down list below:
Correspondence (Other)
Please input your role/title in the space provided.
Number of Service Connections*
Choose the appropriate selection from below.
- 0-413 Connections
- 414 -2413 Connections
- 2414 Plus Connections
Membership dues in Missouri Rural Water Association are not deductible as charitable contributions for federal income tax purposes. However, they may be deductible as professional or business expenses, to the extent allowable by law.
Minimum Dues
Price:
# of Connections*
Input the number of service connections ranging from 414 to 2413.
Price: $0.58
Maximum Dues
Price:
# of Connections*
Please re-enter the exact number of service connections.
Phone*
FAX
Email*
Enter Email Confirm Email
Billing Address*
Please use the address associated with Debit/Credit card.
Street Address Address Line 2 City ZIP Code
Please check accordingly*
- Billing Address differs from Physical Address
- Same
Physical Address*
Street Address Address Line 2 City ZIP Code
Counties Served*
Please list the names of the counties served by your system.
Board President or Mayor*
First Last
Board President/Mayor Address
Please check this box if Board President/Mayor receives correspondence at a different address.
- Board President/Mayor Correspondence Address
Board President/Mayor Correspondence*
Street Address Address Line 2 City ZIP Code
Water Superintendent/Manager*
First Last
Certification Level
(Example: DS-II, DW-C)
Clerk/Office Manager*
First Last
Certification Level (if applicable)
(Example: DS-II, DW-C)
Please list all certified operators and their certification levels below.
- DS-Distribution
- DW-Water Treatment
- WW-Wastewater Treatment
Certified Operators*
To add names, click the (+) sign to the right of the row.
First Name Last Name Certification Level
Credit Card
Note: When paying by debit/credit card, please ensure that Billing Address matches the address associated with card.
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
To prevent additional charges to your card, X out of screen once form has been submitted.
Total
$0.00
Phone
This field is for validation purposes and should be left unchanged.

Missouri Rural Water Association Membership

MRWA System Membership

System Membership Information

2022 System Membership Form

Click the pdf form below for a printable form to mail.

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First Name	Last Name	Certification Level