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Account Information Email* Password* Confirm Password* I would like to purchase a membership ($57.62 CAD) Personal Information First Name* Last Name* Middle Name Gender Male Female Profession Profile* - Profession Profile - Certified Water/Wastewater Operator Non-Certified Water/Wastewater Operator Consultant/Engineer/Technician Supplier/Sales/Marketing Government Student Other If other: Address* City* Country* Select One Canada United States Province* Select One Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory State* Select One Alabama Alaska American Samoa Arizona Arkansas Armed Forces - Europe Armed Forces - Pacific Armed Forces - USA/Canada California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code* Phone* Phone Extension Fax Use as my mailing address for at-home materials SWWA is a constituent organization of Western Canada Water (WCW). WCW shares member contact information with Municipal Service and Supplier Association (MSSA) members and produces the "WH2O's WH2O Western Canada Water's Membership & Buyers Guide", where your name and contact information is published. Check box if you DO NOT want your information shared. Employer Information Same as Home Address Employer Name Address* City* Country* Select One Canada United States Province* Select One Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory State* Select One Alabama Alaska American Samoa Arizona Arkansas Armed Forces - Europe Armed Forces - Pacific Armed Forces - USA/Canada California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code* Phone* Phone Extension Fax Use as my mailing address for at-home materials Billing Information Same as Home Address Billing Email Address* City* Country* Select One Canada United States Province* Select One Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory State* Select One Alabama Alaska American Samoa Arizona Arkansas Armed Forces - Europe Armed Forces - Pacific Armed Forces - USA/Canada California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code* Phone* Phone Extension Fax Register
