UPA JOIN US graphic

Instructions

Please complete the New Member Application below. If you are a previous member, you do not need to complete this form to renew your membership. Please contact Jennette King at jking@utahpetroleum.org for reinstatement.

Select An Option

Bronze Member $2160 Annually

Silver Member $5040 Annually

Gold Member $9360 Annually

Chairman's Circle Member $28800 Annually

Chairman's Circle Level members require an Executive Board affirmative vote before being added to this level.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

UTAH PETROLEUM ASSOCIATION

UPA Membership Application