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Membership Application

Use the form below to become a member of TXOGA.

* First Name:

* Last Name:

* Company / Organization:

* Title:

* Street Address:

Address (continued):

* City:

* State:

* Zip / Postal Code:

* Country:

* Work Phone:

* Fax:

* Email:

URL:

Business:

Please enter a username and password

* Username:

* Password:

Please choose your membership option

	Basic Individual	$100 per member (Annual dues)
Number of Members:
		Includes subscriptions to TXOGA's newsletters and advisory bulletins, web site access to members area, access to member benefit programs and member rates to attend Association meetings and seminars.
	Sustaining Company	$1,500 per company
		Includes naming as many as 15 company personnel as members, subscriptions to TXOGA's newsletters and advisory bulletins, web site access to member/committee areas, access to member benefit programs, member rates to attend Association meetings and seminars, plus a seat on TXOGA's policy-making Executive Committee.
	Formula Company	*Based on volume (contact TXOGA for total)*
		Includes naming unlimited company personnel as members, subscriptions to TXOGA's newsletters and advisory bulletins, web site access to member/committee areas, access to member benefit programs, member rates to attend Association meetings and seminars, a seat on TXOGA's policy making Executive Committee, plus participation in TXOGA's influential, issue-driven committees.

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* Credit Card Number:

* Expiration:

* Name on Card:

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