Alabama Natural Gas Association - Membership Application

ANGA ANNUAL DUES

2007-2008 ANNUAL DUES SCHEDULE

Corporate Members (distribution companies) = $0.50 per meter per year ($1,000 minimum)

Corporate Members (pipelines): based on annual deliveries in Alabama

Up to 50 Bcf/year = $ 5,000

>50 Bcf-100 Bcf/year = $10,000

>100 Bcf-150 Bcf/year = $15,000

>150 Bcf/year = $20,000

Affiliates (natural gas marketers): $2,000

Affiliates (all others): $1,000

Each membership is allotted one contact name. Additional persons (Associate Members) may be added for $25 each.

* Membership Type (see above): Corporate Affiliate

* Name of Firm:

* Telephone at Firm:

Fax at Firm:

* Firm Address:

* Name of Representative:

* Recommended by:
(Must be from a Corporate member)

Representative Telephone:

Representative Fax:

* Representative E-Mail:

Representative Street Address:

Representative City:

Representative State:

Representative Zip Code:

The firm is in the business of: Corporate:
Pipeline Private Municipal
Affiliate:
Product Service
Master Meter

Please list Product or Service:

Associate Members: (Please list Name, title, Address and Phone for Associate Members)

Associate Member:

Associate Member:

Associate Member:

* required field