Phone (406) 454-1151
APPLICATION FOR MEMBERSHIP
MONTANA RURAL WATER SYSTEMS
925 7th Avenue South · Great Falls, Montana 59405
email: mrws@worldnet.att.net

FILL IN ONE

City or Town ________________________________________________________ Water District ________________________________________________________ Water Users Association ________________________________________________ Private System _______________________________________________________

Contact Person _________________________________________________________

Mailing Address _________________________________________________________

City, State, Zip __________________________________________________________

Email _________________________________________________________________

Website ________________________________________________________________

MRWS DUES STRUCTURE/ANNUALLY

___(Non)Transient Systems ___ 0-50 Hook-ups ___ 51-150 Hook-ups

$50 $75 $125

___ 151-500 Hook-ups ___ 501 & more Hook-ups

$200 $250

We thank you for your continued interest and support of our program.
MRWS activities benefit YOU! Do yourself a favor and make a stronger association by sending in your membership dues now.