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International Utility Group Record Update Form

Please help us to provide excellent service, and ensure that our membership information is accurate by filling in any blanks and making any needed changes. In addition, please add the contact information for additional persons who should receive IUG correspondence.

Last Name:

First Name:

Title:

Company Address:

Company:

City:

State/Province:

Zip/Postal Code:

Direct Phone:

Direct Fax:

Remove my name from the International Utility Group membership
roster and instead forward IUG information to the following person(s)
listed below.

Continue to carry my name on the International Utility Group membership
roster and in addition, please add the following person(s) to the IUG
membership roster and NACM information distribution lists.

Last Name:

First Name:

Title:

Company Address:

City:

State/Province:

Zip/Postal Code:

Direct Phone:

Direct Fax:

Email:

Last Name:

First Name:

Title:

Company Address:

City:

State/Province:

Zip/Postal Code:

Direct Phone:

Direct Fax:

Email:

Continue to carry my name on the International Utility Group membership roster
using the information listed immediately below.

Country:

Cell/Other

Company:

Country:

Cell/Other

Company:

Country

Cell/Other

Additional names to add to roster: