Middle East Petroleum Club Membership Application Form

Middle East Petroleum Club is specifically intended for the industry’s most senior leaders and influential individuals. The Club does not have a blanket policy for membership and looks at case-by-case applications. We believe this is what creates and amplifies our desirable and intimate community.

Title *

First Name * *

Last Name * *

Company Name * *

Job Title * *

Email * *

Address 1 *

Postcode/PO Box *

Town *

City * *

Country * *

Phone *

Please include the + before your country code and remove the 0 in your area code e.g. +97124444909.

Mobile * *

Please include the + before your country code and remove the 0 in your area code e.g. +97124444909.

Company Website Link * *

Company Industry * *

Company Industry (Other) *

Please tick to be contacted by the following *

Mail

Phone

Fax

Organisation Size * *

What is your level of direct purchasing authority *

Annual Revenue/Turnover* * *

Attach Organisational Chart *

Organisational Structure link within the website *

Are you happy to share your LinkedIn profile? *

Yes
No

Attach copy of Business Card *

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