Membership Renewal Membership LevelPublic Agencies, Industrial Users, Water Suppliers to End Users and Regulatory Agencies: 1A - Municipal Membership - membership includes 1 primary member, 11 additional 3C affiliate members and early-bird Conference rate regardless of registration date, $2,000 1B - Municipal Membership - membership includes 1 primary and 7 additional 3C affiliate members, $1,600 1C - Municipal Membership - membership includes 1 primary member and 3 additional 3C affiliate member, $900 Corporate Manufacturers, Suppliers, Consulting, Engineering, Architecture and Law Firms: 2A - Corporate Membership - membership includes 1 primary member, 19 additional 3D affiliate members, early-bird Conference rate regardless of registration date, 12 months complimentary banner website ad and first option for Lunch & Learn opportunities, $5,000 2B - Corporate Membership - membership includes 1 primary member, 8 additional 3D affiliate members and 6 months complimentary banner website ad, $2,500 2C - Corporate Membership - membership includes 1 primary member, 3 additional 3D affiliate members and 3 months complimentary banner website ad, $1,000Associates, Individuals, Professionals, Professors and Student: 3A - Individuals/Professionals, $400 3B - College Professors/University, $200 3C - Additional Affiliate of Div. 1, $250 3D - Additional Affiliate of Div. 2, $250 3E - Students, $50Membership Type* 1A - Municipal Membership - Up to 12 Members, $2000 1B - Municipal Membership - Up to 8 Members, $1600 1C - Municipal Membership - Up to 4 Members, $900 2A - Corporate Membership - Up to 20 Members, $5000 2B - Corporate Membership - Up to 9 Members, $2500 2C - Corporate Membership - Up to 4 Members, $1000 3A - Interested Individuals/Professionals, $400 3B - Professors/Universities, $200 3C - Additional Affiliate with Div. 1, $250 3D - Additional Affiliate with Div. 2, $250 3E - Students, $50 Ed Archuleta Desalter Scholarship FundTexasDesal is seeking donations towards the annual Ed Archuleta Desalter Scholarship Fund which provides fund for higher education students who are engaged in water resource planning and/or research involving one of the various aspects of brackish groundwater or seawater desalination. Contributions in any amount are appreciated and donors will be recognized on the TexasDesal website and during the Annual Conference. Click for more informationInterested in donating to the Ed Archuleta Desalter Scholarship Fund?In 2016, the Board of Directors of the Texas Desalination Association initiated a scholarship fund for higher education students who are engaged in water resource planning and/or research. The scholarship fund is named for Ed Archuleta. Yes, I am interested in donating No, I am not interested in donating at this time Donation Amount Donation of, $100 Donation of, $250 Donation of, $500 Donation of, $1,000 Donation of, $2,500 Other, Enter Amount Enter Amount How would you like the acknowledgement listed?* Your Name Company Name No acknowledgement needed MemberSalutation*Mr.Mrs.Ms.Dr.First Name*Middle InitialLast Name*SuffixJob Title*Industry Type*EngineerOther ResearcherPolicymakerRegulatorStudentUniversity/ProfessorWater Developer/FinancierWater PlannerWater UtilityGovernmentManufacturerConsultantSupplierAssociationLegalOther, type belowOther Industry Type* Organization & AddressOrganization*Mailing Address*City*State*Not Applicable, InternationalALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYZIP/Postal Code*Country*USAAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Contact InformationTelephone*Cell PhoneEmail Address*Enter applicant's email address Website Billing Contact InformationEnter billing contact information, if applicableBe advised, TXD’s mailing address has changed: 2409 SE Dixie Hwy., Stuart, FL 34996 Please send copy of the invoice/receipt to Billing Contact Billing Contact Name*Billing Contact Email*Enter billing contact's email address, if applicable Billing Contact Phone* Volunteer OpportunitiesPlease indicate which committees you would be interested in serving on: Please note, an official Willingness to Serve form is required to be submitted for Board Approval (download Willingness to Serve Form, link above)Committee Preferences Conference Planning Committee (CPC) Ed Archuleta Desalter Scholarship Fund Committee Legislative Committee Membership Committee Nominations / Elections Committee Publications / Outreach Committee Student Poster Awards Committee Other Interests I am interested in running for a position on the TXD Board of Directors. I am interested in presenting at a TXD Conference or Workshop. Company Description & Member BioCompany DescriptionMember Bio Website Banner AdRun the Advertisement for Additional Months?*290 pixels (wide) x 74 pixels (tall) Yes - 3 Months, $200 Yes - 6 Months, $400 Yes - 9 Months, $600 Not at this time, $0 Upload Banner Website Adplease provide a High Resolution, 300 DPI or greaterOr email to: communications@texasdesal.comMax. file size: 100 MB. Included MembersIncluded MembersHow many Included Members will you include in this application? Price: Count - Included Members (Div. 1A)01234567891011Count - Included Members (Div. 1B)01234567Count - Included Members (Div. 1C)0123Count - Included Members (Div. 2A)012345678910111213141516171819Count - Included Members (Div. 2B)012345678Count - Included Members (Div. 2C)0123 Included Member 11 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 1r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 1Mr.Mrs.Ms.Dr.First Name - Included Member 1Middle Initial - Included Member 1Last Name - Included Member 1Job Title - Included Member 1Email Address - Included Member 1Member Bio - Included Member 1 Included Member 22 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 2r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 2Mr.Mrs.Ms.Dr.First Name - Included Member 2Middle Initial - Included Member 2Last Name - Included Member 2Job Title - Included Member 2Email Address - Included Member 2Member Bio - Included Member 2 Included Member 33 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 3r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 3Mr.Mrs.Ms.Dr.First Name - Included Member 3Middle Initial - Included Member 3Last Name - Included Member 3Job Title - Included Member 3Email Address - Included Member 3Member Bio - Included Member 3 Included Member 44 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 4r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 4Mr.Mrs.Ms.Dr.First Name - Included Member 4Middle Initial - Included Member 4Last Name - Included Member 4Job Title - Included Member 4Email Address - Included Member 4Member Bio - Included Member 4 Included Member 55 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 5r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 5Mr.Mrs.Ms.Dr.First Name - Included Member 5Middle Initial - Included Member 5Last Name - Included Member 5Job Title - Included Member 5Email Address - Included Member 5Member Bio - Included Member 5 Included Member 66 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 6r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 6Mr.Mrs.Ms.Dr.First Name - Included Member 6Middle Initial - Included Member 6Last Name - Included Member 6Job Title - Included Member 6Email Address - Included Member 6Member Bio - Included Member 6 Included Member 77 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 7r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 7Mr.Mrs.Ms.Dr.First Name - Included Member 7Middle Initial - Included Member 7Last Name - Included Member 7Job Title - Included Member 7Email Address - Included Member 7Member Bio - Included Member 7 Included Member 88 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 8r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 8Mr.Mrs.Ms.Dr.First Name - Included Member 8Middle Initial - Included Member 8Last Name - Included Member 8Job Title - Included Member 8Email Address - Included Member 8Member Bio - Included Member 8 Included Member 99 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 9r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 9Mr.Mrs.Ms.Dr.First Name - Included Member 9Middle Initial - Included Member 9Last Name - Included Member 9Job Title - Included Member 9Email Address - Included Member 9Member Bio - Included Member 9 Included Member 1010 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 10r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 10Mr.Mrs.Ms.Dr.First Name - Included Member 10Middle Initial - Included Member 10Last Name - Included Member 10Job Title - Included Member 10Email Address - Included Member 10Member Bio - Included Member 10 Included Member 1111 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 11r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 11Mr.Mrs.Ms.Dr.First Name - Included Member 11Middle Initial - Included Member 11Last Name - Included Member 11Job Title - Included Member 11Email Address - Included Member 11Member Bio - Included Member 11 Included Member 1212 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 12r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 12Mr.Mrs.Ms.Dr.First Name - Included Member 12Middle Initial - Included Member 12Last Name - Included Member 12Job Title - Included Member 12Email Address - Included Member 12Member Bio - Included Member 12 Included Member 1313 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 13r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 13Mr.Mrs.Ms.Dr.First Name - Included Member 13Middle Initial - Included Member 13Last Name - Included Member 13Job Title - Included Member 13Email Address - Included Member 13Member Bio - Included Member 13 Included Member 1414 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 14r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 14Mr.Mrs.Ms.Dr.First Name - Included Member 14Middle Initial - Included Member 14Last Name - Included Member 14Job Title - Included Member 14Email Address - Included Member 14Member Bio - Included Member 14 Included Member 1515 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 15r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 15Mr.Mrs.Ms.Dr.First Name - Included Member 15Middle Initial - Included Member 15Last Name - Included Member 15Job Title - Included Member 15Email Address - Included Member 15Member Bio - Included Member 15 Included Member 1616 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 16r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 16Mr.Mrs.Ms.Dr.First Name - Included Member 16Middle Initial - Included Member 16Last Name - Included Member 16Job Title - Included Member 16Email Address - Included Member 16Member Bio - Included Member 16 Included Member 1717 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 17r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 17Mr.Mrs.Ms.Dr.First Name - Included Member 17Middle Initial - Included Member 17Last Name - Included Member 17Job Title - Included Member 17Email Address - Included Member 17Member Bio - Included Member 17 Included Member 1818 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 18r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 18Mr.Mrs.Ms.Dr.First Name - Included Member 18Middle Initial - Included Member 18Last Name - Included Member 18Job Title - Included Member 18Email Address - Included Member 18Member Bio - Included Member 18 Included Member 1919 Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 19r Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Included Member 19Mr.Mrs.Ms.Dr.First Name - Included Member 19Middle Initial - Included Member 19Last Name - Included Member 19Job Title - Included Member 19Email Address - Included Member 19Member Bio - Included Member 19 Additional Members(If you choose to not renew any or all additional members, select invoice. Staff will email an updated invoice.)Division 3C - Additional MembersHow many Additional Members will you include in this application? Price: Count - Additional 3C Members012345Division 3D - Additional MembersHow many Additional 3D Members will you include in this application? Price: Count - Additional 3D Members012345 Additional Member 11a Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 1ra Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Additional Member 1Mr.Mrs.Ms.Dr.First Name - Additional Member 1Middle Initial - Additional Member 1Last Name - Additional Member 1Job Title - Additional Member 1Email Address - Additional Member 1Member Bio - Additional Member 1 Additional Member 22a Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 2ra Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Additional Member 2Mr.Mrs.Ms.Dr.First Name - Additional Member 2Middle Initial - Additional Member 2Last Name - Additional Member 2Job Title - Additional Member 2Email Address - Additional Member 2Member Bio - Additional Member 2 Additional Member 33a Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 3ra Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Additional Member 3Mr.Mrs.Ms.Dr.First Name - Additional Member 3Middle Initial - Additional Member 3Last Name - Additional Member 3Job Title - Additional Member 3Email Address - Additional Member 3Member Bio - Additional Member 3 Additional Member 44a Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 4ra Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Additional Member 4Mr.Mrs.Ms.Dr.First Name - Additional Member 4Middle Initial - Additional Member 4Last Name - Additional Member 4Job Title - Additional Member 4Email Address - Additional Member 4Member Bio - Additional Member 4 Additional Member 55a Yes, renew this individual's membership Do not renew this individual, no longer an employee Do not renew this individual, still an employee 5ra Replace individual with this employee Do not renew, do not replace Please replace the current individual's information with the new person's information Salutation - Additional Member 5Mr.Mrs.Ms.Dr.First Name - Additional Member 5Middle Initial - Additional Member 5Last Name - Additional Member 5Job Title - Additional Member 5Email Address - Additional Member 5Member Bio - Additional Member 5 Payment InformationTotal(If you choose to not renew any or all additional members, select invoice. Staff will email an updated invoice.) $0.00 Payment Method* Credit Card - Online Payment Check Invoice If paying by Check, make payable to Texas Desalination Association, and mail to 2409 SE Dixie Hwy., Stuart, FL 34996. CommentsQuestions/CommentsCAPTCHAPlease refer to TXD’s Privacy Policy if you have any questions regarding your preferences.