Northeast Chapter Colorado Oil & Gas Association

P.O. Box 243

Fort Morgan, Colorado 80701

FUN NIGHT

Trap and Sporting Clays Shoot

SCHOLARSHIPS GRANTED BY NECCOGA

DONATIONS BEING ACCEPTED FOR DOUG BIRD BONE MARROW TRANSPLANT

COGA.ORG

www. oil-gas.state.co.us

www.ipams.org

NECCOGA helps send some Washington County Shooting Start 4H club members to the National Competition

President:

Ken Strauch

J-W Wireline

970-630-3242

V.P.

E.W. Thomas

TJ Enterprises

970-554-0822

Secretary

Jack Horton

Rocky Mountain Oilfield Warehouse

970-768-7799

Treas.

Rhonda White

Rooster Drilling

970-867-4736

2008

Membership Application And/Or Scholarship Contribution

Name(s): _________________________________________________________

_________________________________________________________

Company: _________________________________________________________

Address: _________________________________________________________

City, State, Zip: _________________________________________________________

Phone: _________________________________________________________

Fax: _________________________________________________________

E-Mail: _________________________________________________________

Are you a recipient of the Flo-Line Newsletter Yes____ No____

Any area of expertise that would benefit the chapter:__________________________

Levels of Participation: Scholarship Fund Contributions

Individual/Member $25.00 Lyn Crumley Scholarship Fund

Please designate Amount

Corporate $120.00 Silver $100.00-$249.00

Includes up to 5 individual members Gold $250.00-$499.00

Platinum Corporate $230.00 and up Platinum $500.00 and up

Includes up to 10 individual members

***Please Designate how you would like Funds to be applied***

DUES Paid: ____________________________________

Scholarship Paid: ____________________________________

TOTAL: ____________________________________

Please Make Check Payable To and Mail to:

NECCOGA