Membership Application

Membership Application

Membership Type

Full Member - Large ($2,875)

Full Member - Medium ($1,150)

Full Member - Small ($575)

Associate Member ($287.50)
Contact Information
Company Name:
Primary Contact Name:
Phone Number:
Address 1:
Address 2:
City, State, Zip:
Primary Contact Email Address:
Secondary Contact Name (optional):
Phone Number:
Address 1:
Address 2:
City, State, Zip:
Secondary Contact Email Address:
 
Checklist of Interests
Standards / Best Practices

Conflict Resolution

Compliance/Rental Reduction

Membership

Education / Workshops

Annual Meeting
 
Company Information:
Electrics

IOU

PUD

Cooperatives

Municipal Utility

Communications

CATV

ILEC

CLEC

Small Telephone

Other

Government Entity

Vendor

Contractor
Number of Contacts:
(Contacts are no. of poles occupied, both owned and rented)
 
Other Comments or Additional Information:
 
Print your completed form and fax it to OJUA 503-364-9919