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MEMBERSHIPS
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The Consortium
Indian Energy
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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)
Primary Contact: Name
*
Primary Contact: Title
*
Address
*
City
*
State
*
Zipcode
*
Country
*
Is this the same address as corporate offices?
*
Yes
No
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
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How did you hear about the Tribal Energy Consortium?
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If you were referred to us, please share who made the referral:
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By checking this box, you/your organization agrees if it becomes a member, your company website and logo can be listed on the TEC website
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I agree
Email
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