Please complete the form below and click Submit. Your membership will give you complete access to all CIPA's meetings, newsletters, database listings and legislative updates.

CIPA Member Application
Name: *
Company: *
Job Title *
Email: *
Phone: (xxx) xxx-xxxx *
Fax: (xxx) xxx-xxxx *
Address: *
City: *
State: *
ZIP: *
Company Description (please check all that apply)
Number of employees within your company:
Type of Membership (Check One) *

Clear Selection

Producers: Annual dues are based on prior year production of oil and gas as reported to California Geologic Energy Management Division at the following rates: $0.18 per barrel of crude oil and $0.024 per mcf of natural gas. Please enter your production from last year in the space below. New producers should use their average barrels or mcf per day to estimate annual production.

To estimate your dues: Multiply your barrels/mcf produced yearly by the charge per barrel and/or mcf.

40,000 bbl x $.18 = $7,200 oil production dues
85,000 mcf x $.024 = $2,040 natural gas production dues
==> $9,240 Total Dues

Minimum producer dues: $2,175.  Dues that calculate to more than $200,000 per year may qualify for a special tiered dues structure. Please call CIPA for complete details and dues calculations.

Oil Production (prior year total)
Gas Production (prior year total)
Associate Members: Dues are based on the number of employees within your organization. Please check the number of employees within your company.


How did you hear about CIPA? (Who referred you?)
Associate Members! List Your Company in CIPA's Buyers' Guide
Please write a brief description of the services your company provides. Limit your description to 30 words or less. We may edit (without notice) those that exceed the limit.
(Maximum characters: 250)
You have characters left.
Check the boxes below that best describe your company
Payment Information
Please indicate how you will be paying for your membership in the space below. Because this site is not secured, CIPA will contact you for specific payment information upon approval of your application.


Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.











1001 K Street, 6th Floor | Sacramento, CA 95814
Phone: (916) 447-1177 | Fax: (916) 447-1144
2024 California Independent Petroleum Association
All Rights Reserved.