UPP New Member Form

Name of Utility (UPP) *

First Name *

Middle Initial

Last Name *

Address Type *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Type *

Phone Number *

Secondary Phone number

Email Address *

Date of Birth

New to WEF?

Yes

No

Not sure

Job Title

Membership ID number

Membership Category * 🛈

Local (MA) Member Association *

Secondary MA selection

Gender

Race/Ethnic Origin

Nature of Organization

Key focus areas

What is your Primary JOB FUNCTION? *

The Water Environment Federation (“WEF”) is committed to providing a professional, safe, and welcoming environment for all members and expects members to uphold WEF’s commitment to providing and supporting a positive environment for all WEF members and others affiliated with WEF. View WEF's membership Code of Conduct at http://www.wef.org/wef-member-code-of-conduct. *

Yes