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New Member Application
Current
New Member Application
Complete
Date
Agency
Form Completed by
Population Served / Dues Required
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Under 15,000 | Membership Dues: $100 per year
15,001 to 75,000 | Membership Dues: $250 per year
Over 75,000 | Membership Dues: $500 per year
Completed and Signed Mutual Aid Agreement
One file only.
16 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Approved Ordinance/Resolution
One file only.
16 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Completed Emergency Contact Form
One file only.
16 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Is anyone interested in working on an IPWMAN Committee?
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Yes
No
Please write their name(s) in the field below.
Interested Committee Members
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