MGWA Short Application Form

Please use this page as a short MGWA application form that you can print, then fill out on paper.
Please include payment when mailing to the office address below.

Name (First, Mi, Last):

Mailing Address:

Work Phone:

Email:

Membership Type: (please indicate)
Sustaining $65
Professional $45
Student $20
Retired $25

Printed Newsletter $20 extra
online newsletter available at no extra cost
online directory available at no extra cost

Payment:
Payment can be by check in US funds payable to MGWA or by VISA/MasterCard/Discover/AmEx.
Credit card payments must include the card expiration date and be signed by the card holder.

credit card number
expiration date
signature

Send to:
Minnesota Ground Water Association
c/o WRI
4779 126th St N
White Bear Lake MN 55110-5910

Email: office@mgwa.org
ver 2017