Online Application For Membership

Company Information

Name of Company:

General description of your company's involvement in the oil and natural gas industry:

For service and supply companies, please state your estimated 2012 annual sales to the U.S. oil and natural gas industry. (For all other companies, please request a volume sheet):

Company website address:

By checking this box, company agrees if it becomes a member, API can list company website on itsAPI.org Members Page .

Wholly owned subsidiaries that would be covered under your membership:

Membership Contact

First Name:

Last Name:

Title:

Address 1:

Address 2:

Phone:

Fax:

Email:(Only one email allowed -or we will not receive this form)

CEO Information

First Name:

Last Name:

Title:

Address 1:

Address 2:

Phone:

Fax:

Email:(Only one email allowed -or we will not receive this form)

CEO's Assistant Name:

CEO's Assistant Email:

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