Membership Application Form

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The Central Oklahoma Clean Cities program is sponsored by the Association of Central Oklahoma Governments, the U.S. Department of Energy, and Oklahoma Department of Commerce, as well as by its coalition stakeholders.

Name: *

Title: *

Company or Agency applying for membership: *

Mailing Address: *

City: *

State: *

Zip Code: *

Phone (please include area code): *

Email: *

Website:

How many fleet vehicles does your company/agency operate in Oklahoma?: * #

Industry/Government Category: *

Alternative fuel refueling equipment manufacturer/distributor/service provider

Fleet management/maintenance - government sector

Fleet management/maintenance - private sector

Fuel provider (marketers, distributors, utility companies, etc.)

Government agency/office

Non-profit Environmental Organization or Association

Non-profit Organization

OEM vehicle dealership/vehicle manufacturer

School - college/university/vocational or technical

School - public school district or private school

Small volume manufacturer (aftermarket converter)

Trade association

Other (please describe below)

If Other please describe:

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Association of Central Oklahoma Governments

4205 North Lincoln Boulevard
Oklahoma City, OK 73105

phone 405.234.2264 | fax 405.234.2200

Membership Application Form

Association of Central Oklahoma Governments

U.S. Dept. of Energy Resources