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					                                                 North American Energy Standards Board
                                                    801 Travis, Suite 1675, Houston, Texas 77002
                           Phone: (713) 356-0060, Fax: (713) 356-0067, E-mail: naesb@naesb.org
                                                                       Home Page: www.naesb.org
_________________________________________________________________________________________________



                         NAESB Home Page Access (HPA) Form
(Members have access to the work products on the protected areas as part of their membership benefits. Members complete
“Company Information” section only and return to the NAESB Office for processing by email, fax or mail as provided in header.)

                                Member
                                Company
                                Name:

                                Quadrant:                                    Segment:

                                Address:

                                City/State/Zip:

                                Name of Employee Requesting Password: (Please Print)



                                Phone:                                            Fax:

                                Email:




                   NON-MEMBER NAESB HPA SUBSCRIPTION

Non-members (companies whose dues are not current) pay an annual subscription fee of
$3500 for access to the protected areas of the NAESB Home Page. Members have access
to the work products on the protected areas as part of their membership benefits.
Non-members who wish to subscribe to NAESB HPA should complete the “Company
Information” section (above) and submit to the NAESB Office for processing with your
payment of $3500 by email to: naesb@naesb.org, fax 713-356-0067 or by mail to:
                   North American Energy Standards Board
                   801 Travis, Suite 1675
                   Houston, TX 77002
Payment can be made by check or credit card.
     ATTACHED PAYMENT FORM MUST ACCOMPANY THIS FORM FOR CREDIT CARD PAYMENTS
                               User ID:                                             Date Distributed:
 FOR NAESB USE ONLY
                            Pass Code:                                         Date Entered Outlook:



                                                                                                         Revised September 2010
                                                                                                                        North American Energy Standards Board
                                                            801 Travis, Suite 1675, Houston, Texas 77002
                                   Phone: (713) 356-0060, Fax: (713) 356-0067, E-mail: naesb@naesb.org
                                                                               Home Page: www.naesb.org
        _________________________________________________________________________________________________


                                                   Non-Member NAESB Home Page Access (HPA) – Credit Card Payment Form
                                                               (Submit with Non-member NAESB HPA Form)
Name as it appears
  on Credit Card:
     Credit Card
 Billing Address:
        City/State/
        Zip Code:

               Phone:                                                                                                                                                             Fax Number:

              E-mail:



 Payment Method:                         VISA                                                           Account Number:

                                         MASTERCARD                                           Amount to be Charged:                                                                             Expiration Date:

                                         AMER. EXPRESS                                                       Security Code2:

                                                                                                 Authorized Signature:

                                                                                                                 2
                                                                                                                     Credit Card Security Code
        For your security, we require your credit card's security code. This greatly improves the security of using your credit card online.




        If you are using a Visa, MasterCard or Discover, please provide the 3-digit verification number found on the back of your card.


        This is a non-embossed number printed on the signature panel on the back, immediately following the account number.




        The card security code for your American Express card is a four-digit number located on the front of your credit card, to the right or left above your main credit card number.



        This code is a 4-digit, non-embossed number.
                                                                                                                                                                                                                   Revised September 2010

				
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