Fillable WDB MEMBERSHIP FORM BAY AREA 121509 - dwd wisconsin

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WDB MEMBERSHIP FORM BAY AREA 12/15/09 (Use additional sheets if necessary) Contact Person: James M. Golembeski Member Name and Title (Number each entry) 1. Tim Baneck Superintendent (715) 735-1406 2. Jim Barnes Industrial Account Manager (920) 539-1167 3. Larry Bergner Director, General Operations Required Membership: 39 Sector (Public or Private) Public Term Starts M/DD/YY WDA #5 Date Changed: 12/15/09 Term Ends...
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