Contractor. Membership Application. Available to companies who own and operate land or offshore drilling rigs.

Transcription

1 International Association of Drilling Contractors Contractor Membership Application Available to companies who own and operate land or offshore drilling rigs. Please complete this application and return to IADC: Fax: Mail: Richmond Ave., Suite 760 Houston, TX 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 : City State/Province (if applicable) Country Zip/Postal Code Physical : City 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: Name Title Professional Code* *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 Land Drilling Contractor Offshore Drilling Contractor Land/Offshore Drilling Contractor Other

3 Annual Dues Dues based on number and type of rigs owned and operated. Contractor members must own and operate at least a single drilling rig, and may also own and operate well servicing rigs. Rig Types Owned/Managed # of Rigs Cost per Rig Total Dues (US Dollars) Operating Areas or Regions (States, Countries, or Markets) Example: My rig type = 200 Texas, Brazil, Canada Land Rigs x 0-14,999 ft. (0-4,750 m) ,000 + ft. (4,750 m+) 200 Workover x 100 = Coiled Tubing 100 Coiled Tubing Workover 100 Offshore Rigs Offshore Mobile 1800 Drillship 1800 Semisubmersible 1800 Submersible 1800 Jackup 1800 Tender Mobile Offshore Production Unit x = Platform 400 Workover 300 Platform Workover 300 Offshore Jackup Accommodation 300 Inland Barges Drilling 350 Workover x 350 = Coiled Tubing 100 Total Annual Membership Dues = NOTE: Minimum dues 300; Maximum dues 75,000

4 Membership Directory Information Please provide information below for all office locations you wish to be listed in the Membership Directory. (Use additional paper as needed.) Office Name: City State/Province (if applicable) Country Telephone Company Key Personnel: Name Title Professional Code* Office Name: City State/Province (if applicable) Country Telephone Company Key Personnel: Name Title Professional Code* Office Name: City State/Province (if applicable) Country Telephone Company Key Personnel: Name Title Professional Code* *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 Committees & Areas of Interest Please list personnel interested in getting involved in IADC activities along with the corresponding activity codes from the table below. (Use additional paper as needed.) Personnel Name Title Activity Codes* John Smith Human Resources C1, C7, A2, A6 *Activity Codes Committees IADC committees provide an open forum for exchanging valuable information and addressing concerns collaboratively. C1 C2 C3 C4 C5 C6 C6 C7 C8 Accounting Issues/Procedures (AIP) Advanced Rig Technology (ART) Contracts Drilling Engineers (DEC) Ethics & Compliance Health, Safety & Environment (HSE) Jack-Up Maintenance Quality C9 C10 C11 C12 C13 C14 C15 C15 Rig Moving Supply Chain Tax Technical Publications Underbalanced Operations & Managed Pressure Drilling (UBO & MPD) Well Control Well Servicing Workforce Development Other Areas of Interest IADC s activities, products and initiatives offer a variety of ways to stay informed and get involved. A1 A2 A3 A4 A5 Policy, Government & Regulatory Affairs Conferences Technical Resources Accreditation & Credentialing Local/Regional Chapters

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 Ph: 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 the International Association of Drilling Contractors. Our Membership department will contact you once your application has been processed.

7 IADC Vision IADC Mission For the drilling industry to be recognized for its vital role in enabling the global economy and its high standards of safety, environmental stewardship and operational efficiency. IADC Mission Catalyzing improved performance for the drilling industry.

8 Catalyzing improved performance for the drilling industry.