Groundwater Resources Association - Secure Membership Application Form

GRA Membership Information Printable Membership Application (PDF File)
First and Last Name:
Title:
Organization:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Web Site:
Category of Employer/Affiliation: (you may select more than one)	Academic Consulting Education Foundation/NonProfit Government Industry/Business Interested Citizen Retired Other - please specify below
Years of Experience with Groundwater:
Highest Degree and Discipline:
Registration/License:
Areas of interest: (you may select more than one)	Agriculture Engineering Geology Hydrology Water Quality Education Environmental Groundwater Hydrology Legislation Water Law Other - please specify below
How did you learn about GRA?
Membership Category: (Click here for category descriptions)	Regular (voting) $75.00 Business Membership (voting) $200.00 for first 3 employees and $65.00 for each added member Associate (non-voting) $65.00 Student (non-voting) $25.00
	*GRA/IAH Joint Individual $125.00** GRA/IAH Joint Organization* $250.00 for first 3 employees including 1 GRA/IAH Member - identify which employee should be the IAH Member (in the Addtional Employees section below) or the primary contact will be chosen. $115.00 for each added GRA/IAH Member $65.00 for each added GRA Member
	Voluntary Contribution: $ ($25.00 Suggested)
Additional Employees: For organization membership only


	(List may be expanded in comments box below.)

Additional Comments & Questions: Please provide full contact information for additional employees here.

* New GRA/IAH One-Time Joint Membership Option (click for a complete description of this option) For 2002, GRA is offering a special, one-time discounted GRA/IAH joint membership plan available to new members of the International Association of Hydrogeologists (i.e., to persons who have not been a member of IAH for at least two years). GRA/IAH joint members will receive all GRA and IAH member benefits (including the peer-reviewed Hydrogeology Journal published 6 times per year). Joint membership fees are $250 for a GRA/IAH joint business/government membership (includes 3 GRA members, one of whom will also be an IAH member), or $125 for an individual GRA/IAH joint membership. After the first year of joint membership at the discounted rate, GRA and IAH membership would continue at regular rates. (For info on IAH, go to www.iah.org)

You may pay by check or credit card. These options will be presented when you submit this application.

915 L St, Ste 1000 * Sacramento, CA 95814 * Ph 916-446-3626 * Fx 916-442-0382