6526 East 60th Street
Tulsa, Oklahoma 74145
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Date: ____________________________ | |
| To: | Gas
Processors Suppliers Association 6526 East 60th Street Tulsa, Oklahoma 74145 |
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| The undersigned company hereby applies for membership in the GAS PROCESSORS SUPPLIERS ASSOCIATION and agrees to pay an initiation fee of $100 and annual (calendar year) dues of $300 in advance. | |
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(Company)
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(Address) For GPSA Website Listing
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(City) (State) (Zip)
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| Our official representative will be: |
(Company URL Website Address - not email)
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(Signature) |
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(Name) |
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(Address) for GPSA Correspondence |
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(City) (State) (Zip) |
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(Phone) (Fax) |
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| (Email) | |