Associate. Membership Application. Available to service companies, equipment manufacturers, consultants, and academic and/or training institutions.

Transcription

1 International Association of Drilling Contractors Associate Membership Application Available to service companies, equipment manufacturers, consultants, and academic and/or training institutions. Please complete this application and return to IADC: Fax: Mail: 3657 Briarpark Dr., Suite 200 Houston, TX USA Once processed and approved, IADC membership will be valid through 31 December of the current calendar year.

2 Company Information Headquarter Contact Information Company Name: Mailing : State/Province (if applicable) Country Zip/Postal Code Physical : State/Province (if applicable) Country Zip/Postal Code Company Telephone: Website: Fax: Primary Contact: Name Title Phone Secondary Contact: Name Title Phone Additional Headquarter Contacts: *Professional codes: (1) Drilling Engineer (2) Completion Engineer (3) Drilling & Completion Engineer (4) Drilling/Completion Operations (5) Geologist/Geophysicist (6) Quality, Health, Safety & Environment (7) Training/Education (8) Management (9) Company Owner/Corporate Officer Company Type Oilfield Service/Equipment Manufacturer Government Training Other

3 Membership Directory Information (1 of 2) Information will appear exactly as it is provided below, as part of your company s Membership Directory listing. Please describe up to 5 types of products or services provided by your company. Product & Service Descriptions (Limit 5) Please check up to 5 types of products or services provided by your company. Category Index (Check up to 5) Completion Products or Services Computer Hardware, Software, or Services Consulting Services Directional & Horizontal Drilling Products or Services Downhole Drilling Equipment or Services Drill Bits (including PDC and Core Bits) Drilling Equipment & Supplies: Manufacturer, Sales or Service Drilling Fluids: Products or Services Education & Training Products or Services Equipment Repair Services Financial & Insurance Services Inspection & Testing Equipment or Services Instrumentation OCTG (Casing, Drill Pipe, Tubing, etc.) Personnel Services or Catering Production Equipment (Wellheads, Tanks, Separators, etc.) Rental Tools & Equipment RigPass Accredited Institution Safety & Environmental Equipment or Services Transportation Equipment or Services Well Control Training, Equipment or Services Well Control Fire Fighting Trade Association WellCAP Accredited Institution WellSharp Accredited Institution Marine Products, Equipment or Services

4 Membership Directory Information (2 of 2) Headquarter information will automatically appear in the Membership Directory. If your membership classification offers multiple listings (see Annual Dues section) or you plan to purchse additional listings, please provide the information below. (Use extra paper as needed.) Office Name: State/Province (if applicable) Country Zip Telephone Company Key Personnel: Office Name: State/Province (if applicable) Country Zip Telephone Company Key Personnel: Office Name: State/Province (if applicable) Country Zip Telephone Company Key Personnel: *Professional codes: (1) Drilling Engineer (2) Completion Engineer (3) Drilling & Completion Engineer (4) Drilling/Completion Operations (5) Geologist/Geophysicist (6) Quality, Health, Safety & Environment (7) Training/Education (8) Management (9) Company Owner/Corporate Officer

5 Annual Dues Dues based on company size and level of activity in drilling industry. Associate Classification Membership Directory Listings Company Dues (US Dollars) One location and up to 15 employees* 1 $550 One location and more than 15 employees OR 2-5 locations OR a single branch of a large corporation* Up to 5 $800 Firms who conduct less than 50% of their business in the drilling industry and with 6 or more locations Up to 10 $1,500 Firms who conduct more than 50% of their business in the drilling industry and with 6 or more locations Up to 10 $5,000 Training schools and universities 1 $500 Company Dues = $ Number of additional Membership Directory $ 100 each = $ Total Annual Membership Dues = $ * Purchase of additional Membership Directory listings not available for this classification.

6 Payment Information Payment Method Check or Money Order: Mail payment with this form Richmond Ave., Suite 760 Houston, TX Credit Card: Mail to above address, fax to IADC Membership Department at , scan and to or call Credit Card Type: American Express MasterCard Visa Credit Card Number: Expiration Date: Security Code: Cardholder Name: Signature: Wire Transfer: A processing fee of US $20 must be included for all wire transfer payments. Please provide the following information to your financial institution: Bank : Capital One, N.A 5444 Westheimer, Ste 600 Houston, TX Account Name: International Association of Drilling Contractors Account Number: ACH ABA: Wire ABA: International Swift: HIBKUSH1 Important Note: Please reference Membership Dues and your company name on wire transfer. Thank you for joining: Our Membership department will contact you once your application has been processed. Make the most of IADC membership: In addition to benefits at the company level, there are also many ways for employees of member companies to get involved, such as submitting abstracts for conferences, joining a committee, or attending a local chapter meeting. Individuals may contact our Membership Department (membership@iadc.org) to learn more about how to get involved, or visit for more information on IADC programs, committees, and initiatives. Doc International Association of Drilling Contractors