Please Print, Fill Out and Mail this Application

CALIFORNIA MUNICIPAL UTILITIES ASSOCIATION
915 L St., Suite 1460 Sacramento CA 95814 (916) 326-5800 FAX (916) 326-5810

Application for Individual Associate Membership

 
The undersigned organization hereby submits application for membership with the
CALIFORNIA MUNICIPAL UTILITIES ASSOCIATION, agrees to abide by the terms and 
provisions of the Articles of Incorporation and By-Laws of the Association, and,
upon acceptance by the Board of Governors, shall be entitled to the services of
the Association as therein provided.

Name ___________________________________________ Title _________________________

Organization ___________________________________________________________________

Street Address _________________________________________________________________

Mail Address ___________________________________________________________________

Email __________________________________________________________________________

City/State/Zip Code ____________________________________________________________

Telephone ________________________________ Fax _________________________________
Name & Title of Organization's Manager _________________________________________

Brief Description of Organization (necessary to process application)_____________

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Dues for Individual Associate Membership are $800 annually. Please include a 
check for one year's dues when returning the membership application (dues will
be prorated the second year).

Date ________________________________CK # _______________ $ ________________ (2006)