Water Well Journal Qualification Form

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.)

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

Print Print and digital Digital only
Select the category that best describes your the type of company for which you work: *

1a. Full-service contractor 1b. Pump-only contractor 1c. Drilling-only contractor 1d. Monitoring contractor 1e. Water treatment installer 1t. Irrigation contractor 1s. Student 2a. Supplier 3a. Manufacturer 7a. Operator of groundwater-supplied community water systems
Name *

First Name Last Name
Address *

Street Address

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E-mail *
Phone Number

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Fax

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Website
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