Join Texas ROSE! 
              Texas Ratepayers' Organization to Save Energy, Inc.

Sign me up as a member of Texas ROSE. I understand that all membership dues payments are fully tax deductible. My participation is:  

$25.00 Individual
$50.00 Non-profit Organization
	$500.00 For-profit business
	$5,000.00 Corporation
	Yes, I support energy conservation, renewable energy, and integrated resource planning; but I am unable to join at this time. Please put me on your mailing list.

Please furnish the following information and send your check to:

Texas ROSE
815 Brazos Street Suite 1100
Austin, Texas 78701-2509

Name:

Address:

Organization/Business Contact Name:

My electric utility company is:

My gas utility company is:

 

Phone: 
FAX: 

Email Address: