Membership Change Form - Midwest Reliability Organization

Please complete the form below with the updated information related to your membership. Any information not changed will remain as originally submitted.

Address Change Information

Company Name(Required)

Address

Street Address Address Line 2 City State ZIP Code

LinkedIn Company Profile URL

Persons Authorized to Participate as Members

Full Name (primary)(Required)

Title (primary)(Required)

Address (primary)

Street Address Address Line 2 City State ZIP Code

Contact Phone(Required)

Secondary Phone

Email Address (primary)(Required)

NCR Number (if known)(Required)

Full Name (alternate)(Required)

Title (alternate)(Required)

Address (alternate)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Secondary Phone

Email Address (alternate)(Required)

Name(Required)

Title(Required)

Date(Required)

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Address

Midwest Reliability Organization

380 St. Peter St., Suite 800
St. Paul MN 55102

Phone Number

+1 (651) 855-1760

Fax:

+1 (651) 855-1712

24 Hour Emergency

+1 (651) 734-8355

Media Kit

For more information about MRO, please see: