Name *

The person who will be the primary NEBRA contact for this membership.

First Name

Last Name

Office Phone *

(###)

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Mobile Phone

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Non-voting membership

I elect to have a NON-VOTING MEMBERSHIP (public officials, researchers, regulators, or others may choose this to avoid conflict of interest.) All Associate Members are Non-voting members.

Website sponsorship ($350/yr)

An option for members only. See "Website Sponsors" page in the "NEBRA" menu at top of page.

Yes, I/we want to be a website sponsor. Please send me the information.

Privacy - Sharing Contact Information

I DO NOT give NEBRA permission to include the contact information I have provided above in NEBRA’s membership directory or other documents shared with other members and the public.

Privacy - Announcing Your Membership

I DO NOT give NEBRA permission to announce my/our membership in NEBRA publications, on social media, on the NEBRA website, and/or in other media outlets.

Understanding of NEBRA *

As an individual or representative of an agency or company that seeks membership in the North East Biosolids and Residuals Association, I understand that NEBRA’s mission is to cooperatively promote the environmentally sound and publicly supported recycling of biosolids and other residuals in New England and eastern Canada. I understand that NEBRA is a registered New Hampshire non-profit organization, and a federal 501(c)(3) non-profit. Further information is at www.nebiosolids.org. I also understand that, in ~ 1 year, we will be invoiced for membership renewal in January or July, depending on whether this form is being submitted in the first 2 quarters of the year or the 2nd two quarters of the year. If we do not renew at that time, our membership will terminate at the end of June or the end of December of that year.