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All questions marked with an asterisk (*) are required.  Be sure to click on "Submit" at the bottom of the page when you have answered all the questions.

Please send payment to:
IOGAWV, 405 Capitol St., Ste 808, Charleston, WV 25301

*Membership Name
(Company or Individual):

*Name of Individual Representing Company
(IOGA’s contact person):

*Mailing Address:
*City:
*State:
*ZIP:

*Physical Address:
*County:
*City:
*State:
*ZIP:

Telephone
*Ofc:
Fax:

Website Address:
*E-mail Address:

*Select appropriate membership classification:

Please Click Here to review guidelines before choosing your category

Producer / Operator - $35 per WV well - $15 per Marginal well
Minimum dues per year = $500.00
Maximum dues per year = $25,000.00

# of WV Wells:
# of Marginal Wells:
Gas / Oil Marketer - $2,500
Allied - < 50 employees $500
Allied - 50 or > employees $1,000
Professional - $500
Associate - $250
Royalty Owner - $150

*Describe the nature of your company’s operations:

*Please provide the name of your parent company and/or list any and all subsidiary company(s) of which you are a full or partial owner:

*Membership Directory Listings - Include name, business address, phone & fax numbers, & e-mail address for each person to be listed in the database/directory (additional listings $60 each):
1.)
Name:
Business Address:
City:
State:
Zip:
Phone:
Fax:
E-Mail:

IOGA Membership recommended by:

*Date:

West Virginia Oil & Gas Festival
September 16, 2010 -
September 19, 2010  
Sistersville, WV
(304) 652-2939


Appalachian Producer Issues Seminar
October 5, 2010 -
October 6, 2010  
Mohonk Mountain House
New Paltz, NY
info: IOGA of NY at
716-202-4688 or
info@iogany.org


Sports Weekend
October 8, 2010 -
October 9, 2010  
Lakeview Resort and Spa

Contact information for:

WV House of Delegates
WV State Senate
Governor's Office