Application for New Membership

If you are already a WIOG member, click here for the membership renewal form.
Water Industry Operations Group's Membership year runs from 1 April to 31 March.
Title:
First name:
Last name:
Email:
Gender: Male Female
Employer:
Position:
Work phone:
Mobile:
Choose a password to log onto the site with:
Retype your password:
Mailing address:
 
 
Town/City:
Postal code:
Country:
I wish to receive correspondence by:
What length of membership would you like? 1 year ($35 + $10 admin setup fee*)
3 year ($105 + $10 admin setup fee*)
* For new members, there is a $10 admin setup fee -
ie one year $45 (incl GST) and three years ($115 incl GST)
Please invoice:
Me personally at the mailing address above
My employer
 
  Employer's postal address:
 
Question or Comment:
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