CWSA - Coastal Water Suppliers Association

PLEASE COMPLETE THIS SURVEY

An operator workshop is also being planned for the fall. Input on courses and location desired would be appreciated. Please COMPLETE THIS SURVEY to provide us with some feedback on what you want for workshops and courses in the future!

Need to obtain CEUs?

Nova Quality Training and Consulting is pleased to offer an innovative two day training course that will provide 1.2 CEUs for water operators to assist in meeting their annual CEU requirements. Read more.

2009 CWSA Membership Application

Membership is open to Improvement Districts, Municipalities, Regional Districts, and private water purveyors as full voting members and to consultants, individuals and companies that provide goods or services to the water supply industry as associate non-voting members.

Contact Information

Contact:

Position:

Organization:

Address:

City:

Postal Code

Telephone:

Fax:

Email:

Website:

Company Profile:

Organization Details

Annual Budget $:

Salary Budget $:

# Properties:

Storage Capactiy:

# Connections:

# Metered:

Water Source:

Treatment Method:

Daily Average Pumped (please indicate measurement used):

Summer:

Winter:

Engineering Firm:

Accountant/Auditor:

Staff/Organization Contacts:

Administrator Name:

Email:

Operator Name:

Email:

Additional Name:

Email:

Additional Name:

Email:

Is your organization willing to share resources (i.e. staff, equipment)?

If so, indicate what:

Trustee/Councillor Remuneration Show individual breakdown if amount varies

Benefit Package

# Sick Days:

Check all that apply:

LTD (Long-term Disability)
Weekly Indemnity
Pension
Health/Dental
Other

Travel Allowance:

/km

Training Allowance:

Fee Structure:

DCC Charges:

Connection Fee:

Water Tolls Please separate residential and commercial if different

Flat Rate:

Billing Period:

Metered Rate:

Billing Period:

Metered Rate:

Billing Period:

Metered Rate:

Billing Period:

Parcel Taxes

Commercial:

Residential:

Costs

Audit Fee:

Insurance-Liability:

Membership Fees

Connections	Annual Fee ($)
1-50	$25.00
51-100	$40.00
101-300	$100.00
301-500	$150.00
501+	$200.00

Send a cheque payable to:

Coastal Water Suppliers Association
Box 70
Union Bay, BC V0R 3B0

Contact Brenda Fisher for more information

Phone:

(250) 335-2511

Fax:

(250) 335-1178

� 2009 CWSA
5471 South Island Hwy, Box 70, Union Bay, BC V0R 3B0
T: (250) 335-2511 F: (250) 335-1178 E: cwsa@shaw.ca

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