INDEPENDENT WATER AND SEWER COMPANIES OF TEXAS, INC.
4833 Spicewood Springs Road, Suite 202
Austin, TX 78759
(512) 346-4011 IWSCOT@austin.twcbc.com Facsimile (512) 346-6847
APPLICATION FOR MEMBERSHIP
Name of Utility/Company/Firm _________________________
Mailing Address ____________________________________________________________
City _________________ State ____________ Zip ____________ Phone _____________
Official Representative Name __________________________ Title ___________________
Contact email address: ______________________________________
Type of Membership (Check One): ______ Regular (Voting) Membership (Utility Only)
______ Associate Member (Trade or Professional)
If Applying for Regular Membership, indicate number of Customers:
___________ Water ____________ Sewer
Note: Annual dues for regular customers are determined annually and are based on number of customers.
Utility Consultants (If Applicable):
Attorney __________________________ Engineer ____________________________
Accountant ________________________ Rate Specialist ________________________
Referred/Sponsored by: ____________________________________________________
Description of Associate Applicant’s Products or Services:
I hereby apply for membership in the Independent Water & Sewer Companies of Texas, Inc.
______________________________________ Date: _______________
Please mail, email, or fax this application to the address above. Dues are prorated with annual dues being due as of January 1 of each year.