Native American Water Association

Membership Application                          Please Print Form

Name: ________________________________________Title:_________________________

Tribe/Organization: ___________________________________________________________

Address: ___________________________________________________________________

City: _____________________________ State: ___________________ Zip: _____________

E-mail: _____________________________________________________________________

Telephone: _________________________ Fax: _____________________________________

• 3 Year Membership Certificate and Card

• Discounts for NAWA Training Courses

• Quarterly NAWA Newsletter (The Source)

• Discounts for NAWA Annual Gathering

Types of Native American Water Association Memberships    (Check one)                                

□ $300 Individual Membership     □ $500 Tribal Utility   □ $1000 National/Non-Profit Organizations   □ $1500 Corporation

All Native American Water Association Memberships are (3) Year

Please send your application and payments to:

Native American Water Association