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NGWA Membership Division

AGWSE	Contractor	Manufacturer	Supplier

Number of years of NGWA membership   

Other ground water-related associations you belong to:


Other qualifications you would like to be made known:

I,  , submit my name to be considered for appointment to the following NGWA committee(s), subcommittee(s), or task force (s). If choosing more than one, priortize by number, listing "1" as first choice.

NGWA Committees

Committee	Subcommittee
Business Information Committee
Convention Committee	Credentials Subcommittee
Government Affairs Committee	DOT/OSHA Subcommittee
	Rural Water Districts Subcommittee
	Ground Water Protection & Management Subcommittee
	Regulatory Officials Subcommittee
Education Committee	Contractor Education Subcommittee
Certification Committee
	Safety Subcommittee
Standard Bearer's Grassroots Congressional Contact Network Group
Membership Committee	Affiliate States Subcommittee
	Awards Subcommittee
Policy & Buylaws Committee
Research & Technology Transfer Committee

Comments related to experience/activities that qualify me to function on the groups(s) I have checked: