NGWA

Qualification Form

Please fill out the following information and press the submit button to apply for a
free subscription to the Water Well Journal®!

This form is only for individuals who are NOT NGWA members.

Those not directly working in the groundwater industry can purchase a one-year subscription. The fee for those in the United States is $115 and $135 for those in Canada. A subscription for all other international residents is $150. Click here for more information. (Funds listed in USD.)

*Indicates a required field.

*Please check the type of subscription that you would like to receive:



*Digital version will be sent by email.

*Select the category that best describes your the type of cmpany for which you work:
Contractor

a. Full-service contractor
b. Pump-only contractor
c. Drilling-only contractor
d. Monitoring contractor
e. Water treatment installer
t. Irrigation
s. Student (enter area of study)
o. Other (please specify):

Supplier

a. Supplier, full-service groundwater
b. Supplier of some groundwater lines
c. Management services
o. Other (please specify):

Manufacturer
a. Management or general employee
b. Sales personnel
c. Manufacturers' representative
o. Other (please specify):
Operator of groundwater-supplied community water systems
a. Management
b. Operator
c. Other (please specify):

First name*
Last name*
Title*
Company*
Address 1*
Address 2
City*
State/Province
Zip/Postal code
Country*
Phone
Fax
Email *
Website
Comments

*You must enter your month of birth as an electronic verification
that you have filled out this qualification form.


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Please allow four to six weeks to process your application.
Due to the volume of requests we receive, we cannot reply individually to every denied request.
If your application is approved, you will receive your first issue in four to six weeks.