Committee Application

First Name *

Last Name *

Member Company Name *

Email Address *

Are you your company's primary contact (accredited representative)? Yes No

If not, what is the name of primary contact?

If not, do you have their permission to participate on a standing committee? Yes No

Which committee(s) are you applying for? * Audit Conventions Governmental Affairs Member Services Propane Supply & Logistics Technology, Standards, and Safety

Are you a current member of a committee? If yes, check all that apply. Audit Conventions Governmental Affairs Member Services Propane Supply & Logistics Technology, Standards, and Safety

Unauthorized