2010 Awards of Excellence Nomination Form
System of the Year Nominee Information
Please Select which award you are nominating for:
*
Select One
Water System of the Year
Wastewater System of the Year
Official Name of Facility
Enter the Official Name of Facility
PWS ID:
Please enter your PWS ID
Operating Manager's Name
Enter a Managers Name
Do you have a board or council?
Select...
Yes
No
Board/Council Contact Person
Size of Facility
# of Taps
# of Plant Locations
# of Operators
Total # of Employees
Are you currently expanding?
Select...
Yes
No
Do you purchase water?
Select...
Yes
No
If yes, where?
Do you pump water from a source?
Select...
Yes
No
Facitity Address
Enter Your Business Address
City
Enter Your City
State
Enter Your State
County
Zip
Phone
Previous Award Winner?
Select...
Yes
No
Please give year and type of award:
