Application for Active Membership
Applicant’s Name:
Position/Title:
Employer:
Business Mailing Address:
Business Phone, Direct:
Business Phone, Main:
Email:*
*All notices and correspondence will be sent to this email address.
Length of Time Employed in Above Capacity:
Length of Time Employed in the Energy Industry:
Employer:
Independent Landman
Company Landman
Lease Administration
Attorney (In-House)
Attorney (Private Practice)
Other
Are you currently a member of AAPL?
Yes
No
Please indicate if you are currently a:
CPL
RPL
RL
The following two Active Members of PLANO will sponsor the Applicant:
(If you don’t have sponsors, leave blank and we can contact to help with sponsors)
#1
#2
The undersigned Applicant agrees to be governed by the Articles and By-Laws of this Association, which are set forth on the Association’s website, www.planoweb.org.
The undersigned Applicant does hereby represent that the information set forth in this application is true and correct.