Download, Print and fill out the appropriate form below:-

Membership Application

Membership Form – Owner of Property as per Nye County Recorder’s Office, with a domestic well.

Associate Membership Application

Associate Membership Form – A non-owner of the property with a well or water supply from another source for water.

Return the completed and signed form to:

Private Well Owners Association
Post Office Box 2073
Pahrump, Nevada 89041-2073