Membership Form for Affiliate Members – Southeast Regional Local Emergency Planning Committee

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Membership Application & Update Form for Affiliate Members

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Category and fair share dues

Transportation Companies - $500.00
Product Warehouses - $500.00
Pipeline Companies - $750.00
All Others - $250.00

Definitions: Such members shall consist of representatives from communications media, health professionals, environmental groups, homeowners’ associations, and citizens groups located within the cities listed in Article II.D . In addition, this category includes individuals from business that are classified as Health Safety and Environmental (HSE) partners with responsibility and/or interest in matters for the cities listed in Article II. D. Each Affiliate shall appoint one primary and one alternate representative.

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Secure online payment processing fee 4% 1 $0.00

Category and fair share dues - Transportation Companies 1 $500.00

Category and fair share dues - Product Warehouses 1 $500.00

Category and fair share dues - Pipeline Companies 1 $750.00

Category and fair share dues - All Others 1 $250.00

Total $0.00

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Membership Application & Update Form for Affiliate Members

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Affiliate Member Category

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Avoid transaction fees by paying with a check. Download the Membership Form. Make payment to: SERLEPC PO Box 1148 Pasadena, TX 77501