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CALIFORNIA CHAPTER
P. O. BOX 61 • ROSEMEAD, CA 91770
(626) 302-2795
http://aabe.org/southerncalifornia
MEMBERSHIP APPLICATION
MEMBERSHIP IN THE AMERICAN ASSOCIATION OF BLACKS IN ENERGY (AABE) IS OPEN TO OFFICERS, MANAGERS,
PROFESSIONALS AND OWNERS OF ENERGY RELATED BUSINESSES, CONSULTANTS, CONTRACTORS, WHO OFFER THEIR
EXPERTISE PRIMARILY IN ENERGY RELATED DISCIPLINES THAT SERVE THE ENERGY INDUSTRY OR AGENCIES OF
LOCAL, STATE OR NATIONAL GOVERNMENTS, MANAGERIAL AND PROFESSIONAL EMPLOYEES OF INDUSTRY
RELATED TRADE ASSOCIATIONS, ADVOCACY LEADERS, EDUCATORS IN ENERGY RELATED DISCIPLINES,
GOVERNMENTAL AND REGULATORY OFFICIALS HAVING ENERGY RELATED RESPONSIBILITIES AND STUDENTS WHO
DESIRE TO ACTIVELY SUPPORT THE PURPOSES OF THE ORGANIZATION.
DUES ARE $125 ($100 : NATIONAL & $25 – CALIFORNIA CHAPTER).
PLEASE COMPLETE BELOW:
NAME
POSTION COMPANY
ADDRESS
CITY, STATE, ZIP PHONE
ALTERNATIVE PHONE
EMAIL ADDRESS
ALTERNATIVE EMAIL ADDRESS
WOULD YOU PREFER TO BE CONTACTED VIA WORK EMAIL OR ALTERNATE?
PLEASE SELECT THE MEMBERSHIP CATEGORY THAT APPLIES TO YOU
EXECUTIVE, MANAGER, PROFESSIONAL EMPLOYEE IN ENERGY COMPANY
CONSULTANT/CONTRACTOR WITH PRIMARY EXPERTISE IN ENERGY RELATED DISCIPLINE
SMALL BUSINESS OWNER
EXECUTIVE, MANAGER, PROFESSIONAL EMPLOYEE OF ENERGY RELATED TRADE ASSOCIATION
EDUCATOR IN ENERGY RELATED DISCIPLINE
ADVOCACY LEADER
GOVERNMENT OFFICIAL WITH ENERGY RELATED RESPONSIBILITIES
STUDENT, STUDYING SUBJECTS IN ENERGY RELATED FIELD
COMMITTEE SELCTION____________________________________________________________
PLEASE COMPLETE THIS FORM, ATTACH YOUR CHECK FOR $125 AND MAIL TO CALIFORNIA CHAPTER OF AABE AT
THE ADDRESS NOTED ABOVE.
PLEASE NOTE: AABE MEMBERSHIP DUES ARE NOT PRORATED AND ARE APPLICABLE TO A CALENDAR YEAR ONLY.
MEMBERSHIP IN THE AABE LOCAL CHAPTER REQUIRES MEMBERSHIP IN THE NATIONAL ORGANIZATION.

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American Association of Blacks in Energy | AABE® California Membership Program

  • 1. CALIFORNIA CHAPTER P. O. BOX 61 • ROSEMEAD, CA 91770 (626) 302-2795 http://aabe.org/southerncalifornia MEMBERSHIP APPLICATION MEMBERSHIP IN THE AMERICAN ASSOCIATION OF BLACKS IN ENERGY (AABE) IS OPEN TO OFFICERS, MANAGERS, PROFESSIONALS AND OWNERS OF ENERGY RELATED BUSINESSES, CONSULTANTS, CONTRACTORS, WHO OFFER THEIR EXPERTISE PRIMARILY IN ENERGY RELATED DISCIPLINES THAT SERVE THE ENERGY INDUSTRY OR AGENCIES OF LOCAL, STATE OR NATIONAL GOVERNMENTS, MANAGERIAL AND PROFESSIONAL EMPLOYEES OF INDUSTRY RELATED TRADE ASSOCIATIONS, ADVOCACY LEADERS, EDUCATORS IN ENERGY RELATED DISCIPLINES, GOVERNMENTAL AND REGULATORY OFFICIALS HAVING ENERGY RELATED RESPONSIBILITIES AND STUDENTS WHO DESIRE TO ACTIVELY SUPPORT THE PURPOSES OF THE ORGANIZATION. DUES ARE $125 ($100 : NATIONAL & $25 – CALIFORNIA CHAPTER). PLEASE COMPLETE BELOW: NAME POSTION COMPANY ADDRESS CITY, STATE, ZIP PHONE ALTERNATIVE PHONE EMAIL ADDRESS ALTERNATIVE EMAIL ADDRESS WOULD YOU PREFER TO BE CONTACTED VIA WORK EMAIL OR ALTERNATE? PLEASE SELECT THE MEMBERSHIP CATEGORY THAT APPLIES TO YOU EXECUTIVE, MANAGER, PROFESSIONAL EMPLOYEE IN ENERGY COMPANY CONSULTANT/CONTRACTOR WITH PRIMARY EXPERTISE IN ENERGY RELATED DISCIPLINE SMALL BUSINESS OWNER EXECUTIVE, MANAGER, PROFESSIONAL EMPLOYEE OF ENERGY RELATED TRADE ASSOCIATION EDUCATOR IN ENERGY RELATED DISCIPLINE ADVOCACY LEADER GOVERNMENT OFFICIAL WITH ENERGY RELATED RESPONSIBILITIES STUDENT, STUDYING SUBJECTS IN ENERGY RELATED FIELD COMMITTEE SELCTION____________________________________________________________ PLEASE COMPLETE THIS FORM, ATTACH YOUR CHECK FOR $125 AND MAIL TO CALIFORNIA CHAPTER OF AABE AT THE ADDRESS NOTED ABOVE. PLEASE NOTE: AABE MEMBERSHIP DUES ARE NOT PRORATED AND ARE APPLICABLE TO A CALENDAR YEAR ONLY. MEMBERSHIP IN THE AABE LOCAL CHAPTER REQUIRES MEMBERSHIP IN THE NATIONAL ORGANIZATION.