Member Information
Member Information
Please fill out this member information.
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Name
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First
Last
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Last
Email
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Company
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Address
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City
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Zip
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Phone
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Number of Wells Operated
Birthday
Membership Level
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Wildcatter $5,000
Roustabout $2,500
Partner $1,000
Explorer $500
Supporter $250
Friend of the Industry $100
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Yes
Payment Options
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