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 Manufacturers, Suppliers, Consultants, Engineers, Architects, Attorneys: 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: 3A - Individuals, $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, $20001B - Municipal Membership - Up to 8 Members, $16001C - Municipal Membership - Up to 4 Members, $9002A - Corporate Membership - Up to 20 Members, $50002B - Corporate Membership - Up to 9 Members, $25002C - Corporate Membership - Up to 4 Members, $10003A - Interested Individuals, $4003B - Professors/Universities, $2003C - Additional Affiliate with Div. 1, $2503D - Additional Affiliate with Div. 2, $2503E - 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 donatingNo, I am not interested in donating at this timeDonation AmountDonation of, $100Donation of, $250Donation of, $500Donation of, $1,000Donation of, $2,500Other, Enter AmountEnter Amount How would you like the acknowledgement listed?*Your NameCompany NameNo acknowledgement needed MemberSalutation*Mr.Mrs.Ms.Dr.First Name*Middle InitialLast Name*SuffixJob Title*Industry Type*EngineerOther ResearcherPolicymakerRegulatorStudentUniversity/ProfessorWater Developer/FinancierWater PlannerWater UtilityGovernmentManufacturerConsultantSupplierAssociationOther, 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 PhoneCell 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 34996Billing Contact NameBilling Contact EmailEnter billing contact's email address, if applicable Billing Contact Phone Please send copy of the invoice/receipt to Billing Contact 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, $200Yes - 6 Months, $400Yes - 9 Months, $600Not at this time, $0Upload Banner Website Adplease provide a High Resolution, 300 DPI or greaterOr email to: publications@texasdesal.com Included MembersIncluded MembersHow many Included Members will you include in this application? Price: $0.00 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 11Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee1rReplace individual with this employeeDo not renew, do not replacePlease 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 22Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee2rReplace individual with this employeeDo not renew, do not replacePlease 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 33Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee3rReplace individual with this employeeDo not renew, do not replacePlease 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 44Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee4rReplace individual with this employeeDo not renew, do not replacePlease 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 55Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee5rReplace individual with this employeeDo not renew, do not replacePlease 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 66Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee6rReplace individual with this employeeDo not renew, do not replacePlease 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 77Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee7rReplace individual with this employeeDo not renew, do not replacePlease 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 88Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee8rReplace individual with this employeeDo not renew, do not replacePlease 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 99Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee9rReplace individual with this employeeDo not renew, do not replacePlease 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 1010Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee10rReplace individual with this employeeDo not renew, do not replacePlease 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 1111Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee11rReplace individual with this employeeDo not renew, do not replacePlease 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 1212Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee12rReplace individual with this employeeDo not renew, do not replacePlease 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 1313Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee13rReplace individual with this employeeDo not renew, do not replacePlease 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 1414Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee14rReplace individual with this employeeDo not renew, do not replacePlease 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 1515Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee15rReplace individual with this employeeDo not renew, do not replacePlease 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 1616Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee16rReplace individual with this employeeDo not renew, do not replacePlease 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 1717Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee17rReplace individual with this employeeDo not renew, do not replacePlease 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 1818Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee18rReplace individual with this employeeDo not renew, do not replacePlease 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 1919Yes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee19rReplace individual with this employeeDo not renew, do not replacePlease 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: $250.00 Count - Additional 3C Members012345Division 3D - Additional MembersHow many Additional 3D Members will you include in this application? Price: $250.00 Count - Additional 3D Members012345 Additional Member 11aYes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee1raReplace individual with this employeeDo not renew, do not replacePlease 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 22aYes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee2raReplace individual with this employeeDo not renew, do not replacePlease 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 33aYes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee3raReplace individual with this employeeDo not renew, do not replacePlease 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 44aYes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee4raReplace individual with this employeeDo not renew, do not replacePlease 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 55aYes, renew this individual's membershipDo not renew this individual, no longer an employeeDo not renew this individual, still an employee5raReplace individual with this employeeDo not renew, do not replacePlease 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 PaymenteCheck (Bank Wire w/o processing fee) - Online PaymentCheckInvoiceIf 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.