Tribal Energy Consortium Application for Membership

Thank you for taking the time to fill out this application.

Please fill it out completely and accurately.

Would you prefer a written form to fill out? Download here and email the form back to our team.

Todays Date

Month

Day

Year

Company/Organization Name

Company/Organization Type

Other (if applicable)

Tribal Affiliation

Membership level

Full Member

Associate member

General Description of your organization’s involvement in/with Tribal Energy

Subsidiaries (Please list any wholly owned subsidiaries that would be covered under your membership)

Website (If applicable)Website (If applicable)

Primary Contact: Name

Primary Contact: Title

Address

City

State

Zipcode

Short answer

Country

Is this the same address as corporate offices?

Yes

Phone

Please briefly describe the overall mission/vision of your organization. The scope of your work, the intent of your activities, etc

Briefly explain why you/your organization is interested in becoming a member of the Tribal Energy Consortium

How did you hear about the Tribal Energy Consortium?

If you were referred to us, please share who made the referral:

By checking this box, you/your organization agrees if it becomes a member, your company website and logo can be listed on the TEC websiteBy checking this box, you/your organization agrees if it becomes a member, your company website and logo can be listed

I agree

Tribal Energy Consortium Application for Membership

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