First Name:
Last Name:
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Title:
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Address:
City:
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Zip:
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Demographics
01. Which version of THE SOURCE would you like to receive? (check all that apply):
Printed Hardcopy
Electronic
Both
02. APGA Member Company Employee?:
Select One
Yes
No
03. Firm's primary business? :
Select One
Association, government agency or educational institution
Consulting firm, law firm, insurance or financial inst.
Manufacturer, distributor or end-user of natural gas equip.
Natural gas or combination gas/elect. utility/propane dist.
Natural gas exploration, production, mktg, storage/trnsmssn
Supplier
Other
04. Best describes your title?
Select One
Attorney
Director
Engineer
Manager
Sr executive, including officer, president, VP, other exec.
Superintendent
Other
05. Describe your job function? :
Select One
Customer Service
Finance/Administration
Government Relations
Information Systems
Legal
Marketing/sales
Operating/Engineering
Public Relations
Other
06. Do you work in? (check all that apply):
Natural Gas
Electricity
Both
May we contact you by email about your subscription?
Yes
No
Any other comments:
For questions or inquiries regarding your subscription, please call 202.464.2742 or e-mail mhager@apga.org
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