Company Name
*
Primary Contact Name
*
Title
*
Address
*
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
Phone Number
*
Fax Number
Email Address
*
Company's Web Site Address
*
May we link to your site?
Yes
No
Company Description
*
For use in EEI’s Online Directory (
http://tiny.cc/eeiweb-assocdir
)
The company's (or division's) annual revenues
*
Less than $50 million (Annual Associate dues will be $4,000)
More than $50 million (Annual Associate dues will be $6,000)
How did you hear about us?
Company Eligibility Confirmation
*
Yes
No
I confirm that to be eligible to participate as an EEI Associate my company cannot be engaged in the generation, transmission, distribution, sale, or brokerage of electricity.
Attachments