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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.
*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 (
more info
):
Producer / Operator - $35 per WV well
Producer / Operator - $15 per Marginal well
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
(Producers please list number of wells):
*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):
IOGA Membership recommended by:
*Date:
IPAA Midyear Meeting
June 19, 2008
-
June 21, 2008
The Broadmoor
Colorado Springs, CO
IOGA-NY 28th Annual Meeting
July 9, 2008
-
July 10, 2008
Peek'n Peek Resort
Findley Lake, NY
Summer Meeting
July 27, 2008
-
July 29, 2008
The Homestead
Hot Springs, Virginia
Contact information for:
WV House of Delegates
WV State Senate
Governor's Office
