UPA Membership Application – UTAH PETROLEUM ASSOCIATION

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 directly for reinstatement.

Select An Option

Bronze Member $2160 Annually

Silver Member $5040 Annually

Gold Member $9360 Annually

Platinum Member

Chairman's Circle Member $28080 Annually

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