NY State Water Well Drillers Association
Empire State Water Well Drillers Association
Home About Us Contractors Suppliers Links Contact Us
Empire State Water Well Drillers Association Member
PGWA Summer Field Conference
PGWA Summer Field Conference
PGWA Summer Field Conference
PGWA Summer Field Conference
PGWA Summer Field Conference
Dawn Frey, the First Lady
Sue Bates
Bill & Mike Frey
President’s Award Winner Sean Kyle
Paul Levesque & Gerald Parker
Walter & Kristen Wyckoff
Sherri Gray
Zack Nothnagle
Department of Labor presenter Allen Fredrick
NY State Well Drilling Contractors & Suppliers
The Great ESWWDA Fossil Hunt
Founded in 1941. Leadership in Protecting Our Natural Resources
Roger & Travis Mills – Fall 2012

About Us - Membership

  To apply for a ESWWDA membership you can either fill this form out and click the 'submit' button at the bottom of this page, or you can print this form and mail it with payment to:

Sue Bates
ESWWDA
900 North James Street
Rome, NY 13440


*Please be sure to include a check made out to ESWWDA if you mail in your application.

* denotes required fields     
  

Company Name:

Contact person:

Address

City:

   

State:

Zip:

Phone:

Cell Phone:

Fax:

Email:

Years in business:

Number of machines:

NYRD #

N.G.W.A. Certification and number

Below list Branch Locations and the
Counties you Service in New York


Service and products offered: Select all that apply.

 
 

Contracter/Driller/Pump Installer

(Hold down your Ctrl key to select more than one)
 

Your Web Address (if any):

Manufacturer / Supplier  
(Hold down your Ctrl key to select more than one)
 


Membership Classification: (please check one)

 Contractor/Driller  $125.00   Pump Installer   $125.00
Manufacturer/Supplier   $125.00
Associate Member   $25.00
(Associate Members can only be employees of companies who have full memberships)


Enter any additional information or comments below:

 
$100.00 OF THE $125.00 DUES IS TAX DEDUCTIBLE