Summary of Organizational Qualifications, Experience, and Needs

For many years, the National Ground Water Association has maintained a roster of organizations from around the world that engage in the construction and/or service of water well systems for the impoverished in need of plentiful and safe supplies of drinking water.

As interest in this service grows, we find we are asked to provide greater information about the organizations we list. If you wish for your organization to continue to be listed on our roster, as found at, you must complete this form and click submit. Questions about this form can be directed to

Name of organization
Type of organization
If other, specify
Preferred contact person
E-mail of preferred contact
Zip/Postal code
Web site URL
Year established
Synopsis of purpose
    (please limit to 150 words)

Please rank the priorities of needs for your organization at this time
(Rank from one to four, with 1 being your most important need)

  1st important need  
  2nd important need  
  3rd important need  
  4th important need  

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