INOGA Logo

Become an INOGA Member

2008 Membership Dues Statement

Please complete this form and send with check to INOGA, Attn:  CJ Mayhew, Membership Chairman, 6508 S. Uebelhack Rd., Mt. Vernon, IN  47620

Company _______________________________________________
Contact Person _______________________________________________
Address _______________________________________________
Phone _______________________________________________
Cell Phone _______________________________________________
E-Mail _______________________________________________

Do you want information e-mailed to you?      YES       NO

Make checks payable to Indiana OGA.  Your 2008 dues are from January 1 – December 3.

Please check the one that applies to your Company:

Producer _____   Pipeline _____
Service/Supply _____   Gas _____
Geologist _____   Insurance _____
Attorney _____   Other(Specify) _____

2008 DUES   

$75.00 per person for full membership; $25 each for non-voting associate members.

(Multiple members from a company may become voting members if they choose to pay the full $75 membership fee)

($3 goes directly into Scholarship Fund)

Dues includes membership to the Oil & Gas Reporter

Extra Donation:   ______________

Total Enclosed:  ______________