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Become a Member of MOWPA
2024-07-16T20:47:39-04:00
Become a Member of MOWPA
Membership can be attained by using the form below and paying via credit card or sending a check in the mail. If you would like to send a check, please
download the membership form
and send the check to us through USPS.
Membership
Company and Member Info
Review and Submit Payment
Membership Type
*
Regular
Associate
Inactive (Admin Only- DO NOT SELECT)
Regular Membership = $100 / year (also includes a membership with NOWRA, our national affiliate) Associate Membership = $30 / year (does not include a NOWRA membership; offered to employees of companies that have at least one current Regular Member)
Company Name
Company Address
*
Company Address
Company Address
Company Address
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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New Hampshire
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New Mexico
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Ohio
Oklahoma
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Registered Licensed Environmental Health Specialist (LEHS)?
Yes
No
N/A
Registered LEHS ID:
Primary Services for Onsite Industry:
*
Consultant
Designer
Education
Engineer
Government
Installer
Manufacturer
Operations & Maintenance
Property Owner
Property Transfer Inspector
Regulator
Student/Academic
Vendor
Waste Hauler
Other
Other
What Regions in the State of Maryland Do You Serve (According to Listed Counties)?
Eastern (Worcester, Wicomico, Talbot, Queen Anne’s, Kent, Somerset, Dorchester, & Caroline)
Central (Anne Arundel, Baltimore, Baltimore City, Carroll, Cecil, Harford, Howard, & Montgomery)
Western (Washington, Allegany, Frederick, & Garrett)
Southern (Calvert, Charles, St. Mary’s, & Prince George’s)
Are you interested in Volunteering in MOWPA?
We have different activities and events throughout the year that we need help with. Whether it be helping out at the Demonstration Site, teaching a class, going to Annapolis, etc. If you have time/expertise that you are willing to share to help MOWPA, we would love to have you!
Yes
No
Member Account Information
Name
*
First
Last Name
*
Last
Member Phone
Member Email Address
Enter Email
Confirm Member Email Address
Confirm Email
Purchase Information
Membership Type
*
Membership Type:
Membership Cost
*
Membership Cost:
If you are human, leave this field blank.
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