2025 MEMBERSHIP FORM for the American Public Works Association (APWA)

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2025 MEMBERSHIP FORM for the American Public Works Association (APWA) | Illinois Chapter - Gateway Branch

Thank you for your interest in joining the Gateway Branch of APWA's Illinois Chapter! To help us keep our mailing list up to date, please complete and submit this form along with payment per below instructions.

NOTE - Please also consider becoming an APWA National Member! Join Individual National Membership

Email *

Full Name (First, Last): *

Title:

Company Name:

Street Address:

City, State, Zip:

Phone Number:

Additional Email Address (if different than above):

Please select ALL THAT APPLY from the following membership options: *

$30 for INDIVIDUAL GATEWAY BRANCH YEARLY MEMBERSHIP - Year 2025

$30+ for GROUP GATEWAY MEMBERSHIP - Year 2025 (Include total amount in next question)

Interested in APWA National Membership

Interested in Becoming a Future Gateway Branch Officer/Board Member

Required

Total Amount ($): *

Choose a payment method. (Please make checks payable to APWA GATEWAY BRANCH.) *

I will send payment via Venmo to @GatewayBranch-IL-APWA.

I will send payment via Paypal to Jon Nolan @ILAPWAgatewaybranch. (Please send as a family & friends transaction to avoid fees.)

I will mail a check to the Gateway Branch Treasurer, c/o Jon Nolan at 255 South Lincoln Avenue, O'Fallon, IL 62269.

I will provide a check in-person at a branch meeting/luncheon.

I will provide cash in-person at a branch meeting/luncheon.

I will provide payment via Venmo or PayPal in-person at a branch meeting/luncheon.

A copy of your responses will be emailed to the address you provided.

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