Membership Application

Becoming a PCA Member requires completion of an application, review by a staff member for accuracy, and delivery to the club’s Membership Committee for recommendation, which is then evaluated and approved or rejected by the PCA Board of Directors. Because the Board meets once a month, the process for becoming a member could take up to 30 days. Two sponsors, or existing PCA Members, are required for your consideration.

If you are interested in joining The Petroleum Club of Anchorage, please complete the form below. For corporate inquiries, please fill out our Corporate Membership Application.

Application Date: Saturday, April 27, 2024

* Membership Selection:

Type:

Applicant Information

* Full Name:

* Birthdate:

* Company Name:

* Job Title:

Company Mailing Address:

Business Mailing Address (If Different):

* Personal Mailing Address:

* Phone Number:

Work Phone:

* Email Address:

Interests/Hobbies:

Why did you decide to join the PCA?

Did a member refer you to the Club? Please, tell us who they are.

Was there an event that inspired you to join the Club?

* Are You Married?

Spouse/Secondary Member Card

Please complete the below to provide the requested named individual a spouse/secondary member card. I certify the individual named below is eligible for a spouse/secondary member card under one of the conditions set below:

Full Name:

Email Address:

Phone Number:

Company Name:

Access:

If Affidavit of Domestic Partnership: I certify that we live together in a spouse-like relationship and are domestic partners (hereinafter a “Domestic Partner”) and that the Domestic Partner is eligible for a “Spouse Card” in the Petroleum Club of Anchorage (“PCA”) as the Domestic Partner of the Member in accordance with the following criteria:

Member Sponsors

* Proposed by Voting Member:

* PCA#:

* Member's Email:

* Proposed by Voting Member:

* PCA#:

* Member's Email:

Payment information

THE FOLLOWING INFORMATION IS REQUIRED TO BE FILLED OUT BY THE APPLICANT AT THE TIME THE APPLICATION IS SUBMITTED: PLEASE PROVIDE THE FOLLOWING INFORMATION FOR THE CREDIT CARD TO BE USED FOR AUTOMATIC BILLING AS REQUIRED BY PCA BYLAWS.

* Payment Type:

Online

* Billing Zip Code:

* CVV

Total Fees:

General Membership Policies:

1. All new members shall pay an initiation fee to the PCA, of which no portion will be refunded if a member later withdraws or is terminated from membership for any reason. Monthly dues and any incurred charges are separate from the initiation fee.

2. Memberships in the PCA are held by individuals. Although a company may pay for an individual’s membership, the company does not become a member of the PCA. The individual member, not the employer, is responsible for payment of dues which are payable monthly.

3. Memberships cannot be loaned to any other person. Guests must be accompanied by a Member at all times while in the Club.

4. Persons twenty-one years or older, and of good moral character, are eligible for membership.

5. Regular members shall derive greater than 50% of their livelihood from the petroleum or mineral industries. Associate members shall have an interest in the petroleum or mining industries, but not to the extent that they qualify as Regular members.

6. The PCA Membership Committee, along with the Board of Directors, determines an applicant’s membership status, Regular, Associate, Young Professional or Military and that decision is final.

7. The name of each applicant for membership when received shall be posted by the Membership Chair or General Manager upon the bulletin board of the Club for a period of ten (10) days, at the expiration of which time, provided that not more than five (5) signed and written objections have been filed as hereinafter provided, the application shall be submitted to the membership committee for review and recommendation to the board of directors at the next meeting for approval of said applicants.

8. A membership in the PCA may be transferred upon resignation of a member, and upon payment of the appropriate transfer fee, to an applicant for the same membership status. An application form must be filled out for a transfer of membership. The individual transferring the membership must provide a letter naming the applicant receiving the transfer.

9. Resignation from PCA must be presented in writing. All dues and any unpaid charges are payable at that time.

I have read the terms of membership and agree to abide by all the rules and policies of the Petroleum Club of Anchorage, Inc.

* Signature of Applicant:

* Date:

* Denotes Required Field

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