Member Application

Welcome to our online membership application process. Apply today to join an elite network of oil and gas members and to benefit from a number of resources and networking events. Contact Tiffany Beam with any questions tiffany@loga.la or 225-388-9525

Step 1: Member Info

Step 2: Additional Info

Step 3: Primary Contact

Step 4: Billing Contact

Step 5: Membership Options

Step 1:

Member Info

Company Name *

Please add your company name.

Leave Blank

Phone *

Please add your company phone number.

Website

Email *

Please add a valid email.

Physical Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Mailing Address

Same as physical address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Step 2:

Additional Info

Directory Category *

Please select a directory category.

Directory Category 2 (select up to 3)

Directory Category 3 (select up to 3)

Referred By:

Employee Count

Employees in US

Employees in Louisiana

Step 3:

Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Address in Step 1

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Create Account

This Login is already in use

Login *

Please add your login username.

Password *

Please add your login password.

Step 4:

Billing Contact

Same as Primary Contact

First Name *

Please add your first name.

Last Name *

Please add your last name.

Title *

Please add your title.

Phone *

Please add your phone number.

Cell Phone

Fax

Email *

Please add a valid email.

Contact Preference

Email

Phone

Address

Same as Primary Contact Address

Address line 1 *

Please add your address.

Address line 2

Country *

Please add your country.

City *

Please add your City.

State *

Please add your State.

State *

Please add your State.

State *

Please add your State.

Postal Code *

Please add your Postal Code.

Create Account

This Login is already in use

Login *

Please add your login username.

Password *

Please add your login password.

Step 5:

Membership Package

Please select a Membership Package

Regular $ 1,000

2 Member Reps

Wildcatter $ 2,500

5 Member Reps

Corporate $ 5,000

8 Member Reps

Platinum $ 7,500

15 Member Reps

Double Platinum $ 12,500

30 Member Reps

Triple Platinum $ 17,500

50 Member Reps

Diamond $ 20,000

100 Member Reps

Comments/Questions

Payment Option

Bill Me

Charge my credit or debit card

Please complete the Captcha

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