2024 New Membership Registration Form

Membership Type*
- 1A – Public Agencies, Industrial Users and Water Suppliers – Large, $525
- 1B – Public Agencies, Industrial Users and Water Suppliers – Medium, $465
- 1C – Public Agencies, Industrial Users and Water Suppliers – Small, $405
- 1D – Industrial End User, $600
- 1E – Regulatory, $325
- 2A – Company/Corporate Membership – Up to 15 Members, $2,975
- 2B – Company/Corporate Membership – Up to 10 Members, $2,100
- 2C – Company/Corporate Membership – Up to 5 Members, $1,200
- 2D – Company/Corporate Membership – 2 Members, $440
- 2D – Company/Corporate Membership – 1 Member, $295
- 3A – Individuals, $225
- 3B – University/College Professors, $200
- 4 – Students (Full-Time), $0
- 5 – Recent Graduate, $50
Primary Member
Salutation*
First Name*
Middle Initial
Last Name*
Suffix
Job Title*
Organization & Address
Organization*
Mailing Address*
City*
State/Province*
ZIP/Postal Code*
Country*
Contact Information
Telephone*
Cell Phone
Email Address*
Enter member’s email address
Individual Social Media Usernames
LinkedIn
Twitter
Company/Organization Social Media Usernames
LinkedIn
Twitter
Website
Billing Contact Information
Enter billing contact information, if applicable
Billing Contact Name
Billing Contact Email
Email address sent to billing contact, if applicable
Billing Contact Phone
- Please send copy of the invoice/receipt to Billing Contact
Please complete the linked spreadsheet to provide additional members or additional entity names that you wish to be associated with your Division 2 Membership.
Download the file here
The completed spreadsheet should be emailed to AMTA Staff
Member Profile
Interested in Serving on Committee(s):
- Awards
- Fellowships
- Historian
- Legislative/Regulatory Programs
- Membership
- Communications
- Student and Young Professionals (SYP)
- Technology Transfer
Interested in the following:
- Running for position on AMTA Board
- Presenting at a Workshop or Conference
Member Bio
Company Profile
Company Profile
Instructions: if you are applying for a Division 1 or 2 Membership, please check all the categories that apply to your company and what you offer so that when a search is done for those products or services, your company will be listed.
1. Membrane Element / Module Component Manufacturer
- Membrane Element / Module Component Manufacturers
Check all the apply
- Electrodialysis, ED & Electrodialysis Reversal, EDR
- Forward Osmosis, FO
- Membrane Bioreactor, MBR
- Microfiltration, MF
- Reverse Osmosis, RO / Nanofiltration, NF
- Ultrafiltration, UF
2. Membrane System Manufacturer / Supplier
- Membrane System Manufacturer / Supplier
3. Membrane System Component Supplier
- Membrane System Component Supplier
Check all that apply
- Pumps
- Pressure Vessels
- Instrumentation / SCADA
- Valves & Fittings
- Controls
- Energy Recovery
- Other
4. Membrane System Architect / Engineer / Consultant
- Membrane System Architect / Engineer / Consultant
5. Membrane System Process Integrator
- Membrane System Process Integrator
6. Membrane System Chemical Supplier
- Membrane System Chemical Supplier
7. Membrane System Troubleshooting / Laboratory Support
- Membrane System Troubleshooting / Laboratory Support
8. Membrane System Manager / System Operator
- Membrane System Manager / System Operator
Choose one
- Municipal Water / Wastewater
- Industrial Application – Oil & Gas, Food/Beverage, Other
Check all that apply
- Electrodialysis, ED & Electrodialysis Reversal, EDR
- Forward Osmosis, FO
- Membrane Bioreactor, MBR
- Microfiltration, MF
- Reverse Osmosis, RO/ Nanofiltration, NF
- Ultrafiltration, UF
9. Membrane System Research Center / University
- Membrane System Research Center / University
Please provide proof of your full time student status or proof of the two-year post graduation period
Full-time student proof must be a letter from the University Registrar’s office or a supporting letter from your University Professor/Advisor indicating that you are currently enrolled as a full-time student that includes an anticipated graduation date. Part-time students are not eligible for the student membership. As a condition of receiving a complimentary Div. 4 student membership, you must also provide a personal email address. Once you have provided this proof, AMTA will process your membership. Proof of full-time student status must be provided annually.
Personal Email Address (can not be university email address)*
Submit proof of full time student status: Student ID will not be accepted as proof.*
Accepted file types: pdf, doc, docx, Max. file size: 100 MB.
Submit proof that you are a recent graduate: Requires final transcript or copy of degree*
Accepted file types: pdf, doc, docx, Max. file size: 100 MB.
What is your anticipated year of graduation?*
What year did you graduate?*
Total Registration Fee
Total
$0.00
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Affiliate Member 1
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Payment Information
Payment Method*
- Invoice
Once a membership application has been received, AMTA will send you a PDF invoice for your membership, which will include a link to make payment.
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American Membrane Technology Association is a Section 501(c)(4) organization. Because 5% of all membership dues collected is used for advocacy and legislative activities, 5% of each paid membership dues is not eligible as a business expense for federal and state income tax purposes.

Primary Member

Organization & Address

Contact Information

Billing Contact Information

Member Profile

Company Profile

Please provide proof of your full time student status or proof of the two-year post graduation period

Total Registration Fee

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Affiliate Member 2

Affiliate Member 3

Affiliate Member 4

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Payment Information

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