Federal law requires members of the American Fuel & Petrochemical Manufacturers (AFPM) to provide prior approval, in writing, before AFPM may communicate certain political information or solicit that member’s executive or administrative personnel for the AFPM PAC. By completing this Prior Approval Form, you authorize AFPM to communicate with or solicit the executive or administrative personnel of your company. Please note, your company can give prior approval to only one trade association in each calendar year. Neither AFPM nor the AFPM PAC will communicate with employees of your company without your consent.Authorization(Required)On behalf of my company, I hereby authorize the American Fuel & Petrochemical Manufacturers to communicate with or solicit voluntary contributions from the executive and administrative personnel of my company during the calendar year(s) indicated by my selection of the boxes below. I authorize approval on behalf of myself I authorize approval on behalf of myself and employees Years(Required) 2024 2025 2026 2027 2028 Name First Last Title Company Name Company Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code PhoneEmail Fax
