2011-2012

Florida Natural Gas Association

Supplier members are the suppliers to the natural gas industry, such as appliance manufacturers and those who furnish equipment and professional services.

Supplier members comprise the equipment section and elect their own Chairman, Vice-Chairman, Supplier Representative and Secretary/Treasurer. They may attend all meetings of the Association including the Sales Section and Operating Section, and participate in all FNGA activities except voting for Directors and Officers.

Supplier Membership Application

Annual dues for Supplier members shall be payable in July of each year.

Please type or print:

Company Name: ______

Representative:______Title:______

Address: ______

City:______State: ______Zip:______

Telephone(____)______Fax: (____)______

Toll Free Number: (_____)______

E-Mail Address:______Internet Address: ______

Membership Classifications:

Membership ClassAnnual DuesCheck Category

Supplier Regular Member$462......  A Regular

Supplier Silver Member$772......  B Silver

Supplier Gold Member$1,544......  C Gold

SupplierPlatinum Member$3,167......  C Platinum

Supplier Regular Membership - entitles supplier members to full benefits of FNGA membership including all mailings, annual membership directory listing, advertising opportunities, discounts on materials, discounts on registration at conventions, conferences, etc.

Supplier Silver Membership - same benefits as supplier members plus, recognition in membership directory as Silver Member, one free 1/3 page ad in one issue of the FNGA Newsletter, (a $150 value), recognition at conventions, conferences as a Silver Member.

Supplier Gold Membership - same benefits as supplier members plus, recognition in membership directory as Gold Member, one free ½ page ad in one issue of the FNGA Newsletter, (a $250 value), recognition at conventions, conferences as a Gold Member.

Supplier Platinum Membership – same benefits as supplier members plus, recognition in membership directory as a Platinum Member, one free full page ad in one issue of the FNGA Newsletter, ($350 value), recognition at conventions, conferences as a Platinum Member, FNGA website link to Company website, invitation to David Rogers’ Spring Cookout, opportunity to meet with member company decision-makers during Annual Convention

Contributions or gifts to the Florida Natural Gas Association are not deductible as charitable contributions for Federal Income Tax purposes. However, dues payments are deductible by members as an ordinary and necessary business expense. Please note federal law provides the portion of association expenses in activities for lobbying is not deductible as a business expense; the non deductible portion for FNGA dues is estimated to be 15%.

To ensure your inclusion in the FNGA Membership Directory, please complete this application and return it along with your dues checkto FNGA, PO Box 11026, Tallahassee, Florida 32302. (850)681-0496

Please list your services for inclusion in the Annual Directory

Appliances:______

Equipment:______

Services:______

Please complete this application and service form and return it along with your check to: Florida Natural Gas Association, Membership Dues, PO Box 11026, Tallahassee, FL 32302 in July of every year.