United States
Environmental Protection
Agency
Office of Water
(4204M)
E PA832 - F-98-004
November 1998
www. epa. gov/owm/gen wave. htm
WAVE Membership Agreement:
Supporters
WAVE'S MISSION
Water Alliances for Voluntary Efficiency (WAVE) is a non-regulatory water-efficiency
partnership created and supported by the U.S. Environmental Protection Agency (EPA).
WAVE'S mission is to encourage commercial businesses and other ir_stitu:ions to reduce
water consumption while increasing efficiency, profitability, and competitiveness.
As a WAVE Supporter, my organization agrees to conduct the following activities to
the best of its ability:*
^ Survey all of the company's or institution's U.S. facilities and consider a full set of
options for improving the efficiency of water-using equipment.
4 Within five years of joining WAVE, implement those water efficiency projects that
meet my organization's profitability criteria.
A Maintain and annually submit to EPA information on the water efficiency measures
implemented and their estimated water, energy, and cost savings.
^ Consider the use of water-efficient equipment in the design of all new facilities.
9 Help EPA promote the economic and environmental benefits of water efficiency.
Epa agrees to assist WAVE participants in implementing WAVE by doing the following:
^ Develop outreach materials recognizing participants for water efficiency achievements
and a commitment to environmental protection.
 Provide a free copy of WAVE*Saver, an interactive, PC-based software tool that
enables participants to survey water use and identify water-saving opportunities.
A Help create and promote a national clearinghouse of water efficiency information.
^ Make available case studies of economically successful investments in water
efficiency.
PLEASE SIGN BELOW:
* The organization also agrees that it will not submit a claim for compensation to EPA or
any other agency of the United States government for any activities performed in further-
ance of this agreement.
Company Name:	
Signature of Organization Senior Official: Signature of EPA Senior Official:
Name (please print):	Director, Office of Wastewater
	Management
Title: 	
Date:	 Date: 	
0MB Control No. 2040-0164  Expiration Date: 3/31/03  See reverse for Paperwork Reduction Act notice.
Printed on paper that contains at least 20 percent postconsumer fiber.

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INFORMATION
Organization Name:			; 	____		
Type of organization (i.e., manufacturer, equipment distributor, water management
company, etc.):					 	
Company Contact Person: 	3		
Title:	
Address: 	 'V . ' - v:		
Phone:	 Fax: 			
E-Mail:	 WAVE*Saver format: ~ CD-ROM ~ 3.5" Disks
Facilities to be included in membership:
Number of buildings: 	Total square footage:	
For more information, please contact: WAVE Program Director, U.S. EPA, Mail Stop
4204M, Ariel Rios Building, 1200 Pennsylvania Avenue, NW, Washington, DC 20460. Or
call 202 564-0623/0624. Fax: 202 501-2396.
PAPERWORK REDUCTION ACT
The Office of Management and Budget (OMB) has approved the information requirements of the WAVE Program
under the provisions of the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. and has assigned OMB control
number 2040-0164.
Participation in the WAVE Program is voluntary. Legal authority for this collection can be found in 33 U.S.C. fa
1254(o) (1988). This section of the Clean Water Act authorizes the EPA Administrator to conduct research and	
investigations to develop methods, devices, systems and policies capable of achieving the maximum reduction of
unnecessary water consumption. The WAVE Program is key to reducing unnecessary water consumption, and
achieving pollution prevention.
The public reporting and record keeping burden for this collection of information is estimated to range from 15
minutes to nine hours per response. Burden means the total time, effort, or financial resources expended by per-
sons to generate, maintain, retain, or disclose or provide information to or for a Federal agency. This includes the
time needed to review instructions; develop, acquire, install, and utilize technology and systems for the purposes
of collecting, validating, and verifying information, processing and maintaining information, and disclosing and
providing information; adjust the existing ways to comply with any previously applicable instructions and
requirements; train personnel to be able to respond to a collection of information; search data sources; complete
and review the collection of information; and transmit or otherwise disclose the information. An agency may not
conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number.
Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any sug-
gested methods for minimizing respondent burden, including through the use of automated collection techniques to
the Director, Office of Policy, Planning, and Evaluation, Regulatory Information Division (2137), U.S. Environmental
Protection Agency, Ariel Rios Building, 1200 Pennsylvania Avenue, NW, Washington, DC 20460. Include the
OMB control number in any correspondence. Do not send the completed WAVE Partnership Agreement form to
this address.
*

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