Membership Application

Please check to see if your organization is already a member before applying. If you wish to apply for Distribution or Transmission Company Membership, please call Chad Shannon (651) 289-9600 x112 or email us for more information.

An explanation of MEA membership categories can be found here.

Company Information

Company Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Postal Code Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Telephone Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Fax Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Company Website Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Primary Contact

This is the senior liaison between MEA and the member company

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Postal Code Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Telephone Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Fax Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Contacts

Contact 1

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 2

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 3

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 4

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 5

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 6

First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 7

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Contact 8

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Membership Investment

Associate Membership Type

Total

The contents of this box are for testing purposes. This box will be removed when the form goes live.

Full-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Part-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Hotel/Motel Rooms Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Restaurant Seats Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Associates Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Associates Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Locations Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Locations Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Assets Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Assets Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Categories Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Number Of Additional Categories Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Categories Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 1 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 2 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 3 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 4 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 5 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 6 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 7 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 8 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 9 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 10 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Annual Dues (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Revenue Item Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Tax (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Fee (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Temp Value For DropDown 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

MembershipType Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Additional Item 2

Additional Item 3

Additional Item 4

Additional Item 5

Additional Item 6

Additional Item 7

Additional Item 8

Additional Item 9

Additional Item 10

Primary Directory Category

Additional Directory Categories

Select additional directory categories below by holding the "CTRL" key
Secondary categories may be subject to additional fees

Number of Full Time Employees

Number of Part Time Employees

Number of Rooms

Number of Seats

Number of Associates

Number of Locations

Millions in Assets

Enhanced Membership ($50)

Annual Membership Investment

Additional Items

Additional Categories Cost

One-Time Application Fee

Tax

Payment Type

NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.

Additional Information

I would like to subscribe to EnergyU.

Member Directory Information
Please provide a brief company description (250 characters max including spaces) Required Please enter a valid number Please enter a valid date Please enter valid credit card information

We are now doing business with the following MEA members
It is not a requirement to be presently serving MEA members Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Number of Customers Served Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Residential Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Commercial Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Industrial Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Percentage of Electric Customers Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Percentage of Gas Customers Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Population of Area Served Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Average Annual Consumption (Kwh) per Residential Customer Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Average Annual Consumption (Mcf) per Residential Customer Required Please enter a valid number Please enter a valid date Please enter valid credit card information

# of Square Miles in Service Area Required Please enter a valid number Please enter a valid date Please enter valid credit card information

# of Miles in Distribution Line Required Please enter a valid number Please enter a valid date Please enter valid credit card information

# of Miles in Distribution Main Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Gross Annual Electric Revenue Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Gross Annual Gas Revenue Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Number of Electric Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Number of Gas Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Electricity Transported On Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Pipeline Used to Transport Gas Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Reason for Joining Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Billing Contact

Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information

City Required Please enter a valid number Please enter a valid date Please enter valid credit card information

State

Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Credit Card Information

Credit Card Type

Mastercard

Visa

Amex

Credit Card Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information

Name on Card	Required
Security Code	Required
Valid Through
Address	Required
City	Required
State
Zip	Required
Phone	Required
Credit Card Email Address

We hereby apply for "Associate Company" Membership in Midwest ENERGY Association, Inc. (MEA), as set forth in the Association's Bylaws, Article IV, Section 2c. We understand that we will be billed annually, and upon receipt by MEA of our application, payment, and approval by the Membership Chair, be accepted as Associate members with the appropriate membership privileges.

We hereby apply for "Electric Level II" Membership in Midwest ENERGY Association, Inc. (MEA), as set forth in the Association's Bylaws, Article IV, Section 2c. We understand that we will be billed annually, and that we will then, upon receipt by MEA of our application, payment, and approval by the Membership Chair, be accepted as members with full membership privileges.

We hereby apply for "Energy Transmission Company" Membership in Midwest ENERGY Association, Inc. (MEA), as set forth in the Association's Bylaws, Article IV, Section 2c. We understand that we will be billed annually, and that we will then, upon receipt by MEA of our application, payment, and approval by the Membership Chair, be accepted as members with full membership privileges.

We hereby apply for "Energy Producer" Membership in Midwest ENERGY Association, Inc. (MEA), as set forth in the Association's Bylaws, Article IV, Section 2c. We understand that we will be billed annually, and that we will then, upon receipt by MEA of our application, payment, and approval by the Membership Chair, be accepted as members with full membership privileges.

We hereby apply for "Partners in Education" Membership in Midwest ENERGY Association, Inc. (MEA), as set forth in the Association's Bylaws, Article IV, Section 2c. We understand that we will be billed annually, and that we will then, upon receipt by MEA of our application, payment, and approval bye the Membership Chair, be accepted as Partners in Education members with the appropriate membership privileges.

We hereby apply for "Energy Marketer" Membership in Midwest ENERGY Association, Inc. (MEA), as set forth in the Association's Bylaws, Article IV, Section 2c. We understand that we will be billed annually, and that we will then, upon receipt by MEA of our application, payment, and approval by the Membership Chair, be accepted as members with full membership privileges.

We hereby apply for "Gas Level II" Membership in Midwest ENERGY Association, Inc. (MEA), as set forth in the Association's Bylaws, Article IV, Section 2c. We understand that we will be billed annually, and that we will then, upon receipt by MEA of our application, payment, and approval bye the Membership Chair, be accepted as members with full membership privileges.

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Associate/Contractor membership dues payment cancellation notifications received in writing less than 7 days after submission of the member application will result in a refund. No refunds will be issued after the 7th day.

Membership Application

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Our Mission

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Energy | Empowered Magazine

Membership Application