Have you previously been a supplier member? Yes No If yes, most recent year:

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1 International Liquid Terminals Association 1005 N. Glebe Road, Suite 600 Arlington, VA Phone: Fax: Website: SUPPLIER MEMBER APPLICATION COMPANY NAME: STREET ADDRESS: MAILING ADDRESS: (REQUIRED FOR VARIOUS SHIPMENTS, EVEN IF YOU USE A PO BOX) (IF DIFFERENT THAN STREET ADDRESS) CITY: STATE: ZIP: COUNTRY: PHONE: WEBSITE: FAX: Have you previously been a supplier member? Yes No If yes, most recent year: REPRESENTATIVE (person to whom all correspondence, directories, newsletters, etc. should be sent): Name: Street Address: Mailing Address: Title: (REQUIRED FOR VARIOUS SHIPMENTS, EVEN IF YOU USE A PO BOX) (IF DIFFERENT THAN STREET ADDRESS) City: State: ZIP: Country: Phone: Fax: How did you hear about ILTA? Calendar year annual dues are $ (pro-rated to $ after the Trade Show). For an additional $100, ILTA will provide a hyperlink from ILTA s website to your company's website. Among other benefits, membership includes a monthly subscription to ILTA News, sent via . Membership $ $ (Complete and return Directory Listing and Keyword Index) Hyperlink Fee $ (Please provide website information above) Total Enclosed $ (Please mail check with the completed application) Services will not be provided until payment is received. Representative s Signature Date

2 International Liquid Terminals Association 1005 N. Glebe Road, Suite 600 Arlington, VA Phone: Fax: Website: SUPPLIER MEMBER DIRECTORY LISTING Each Supplier Member is provided with an online directory listing and Products and Services selections. COMPANY NAME: STREET ADDRESS: MAILING ADDRESS: (REQUIRED FOR VARIOUS SHIPMENTS, EVEN IF YOU USE A PO BOX) (IF DIFFERENT THAN STREET ADDRESS) CITY: STATE: ZIP: COUNTRY: PHONE: FAX: WEBSITE: KEY PERSONNEL TITLE/POSITION EQUIPMENT AND SERVICES PROVIDED (50 words or less): ADDITIONAL LOCATIONS: Please select categories from the Products and Services Index below to be included with your online listing. Representative s Signature Date

3 Supplier Member Directory Products and Services Please select from the following products and services to be included with your company s online directory listing. - A - Coatings (See Paint & Coatings Cold Flow Improver Access Systems Combustion Equipment Accident Investigation Community Awareness Programs Actuators Compliance Additive Injectors & Systems Compressors Additives & Dyes Computer Systems & Services Adsorption Concrete Ringwall Installation Agitators Conductivity Improver Air Conditioning Confined Space Entry/Retrieval Systems Aviation Fuel Systems Construction, Concrete Alarms, Tank Level Construction, General Analysis Construction, Marine Animated Presentations Construction, Pipeline Asbestos Removal Construction, Tank Audits, Environmental Construction, Terminal Audits, Fire & Safety Consultants, Engineering Audits, Operations Consultants, Environmental Management Automation Systems Consultants, Financial Consultants, General - B - Consultants, Management Consultants, Marine Bactericides Consultants, Quality Barge Supplies Consultants, Risk Assessment Biodiesel Equipment & Systems Containers Biofuels Blending & Equipment Containment Systems Blanketing Systems Contractors, Electrical Blasting Contractors, Environmental Blending Services Contractors, General Blending Systems & Equipment Contractors, Industrial Boilers Contractors, Marine Bottom Loading Contractors, Mechanical Bulk Liquid Handling System Design Contractors, Paint & Coating Bulkheads Contractors, Piping Burners, Gas & Oil Control Systems & Equipment Butane Supply Control Valves Cooling Towers & Products - C - Corrosion Detection & Control Couplers Calibration Systems Cranes Cathodic Protection Custody Transfer Systems Catwalks Centrifuges - D - Certification Cetane Improver Data Processing/Acquisition/Distribution Systems Chemicals Dehumidification Equipment Chillers Demolition & Dismantlement Cleaning, Industrial Detonation/Deflagration Arrestors Cleaning, Marine Dock Design & Engineering Cleaning, Railcar Dock Equipment & Services Cleaning, Tank Dock Hoses Climbing Equipment Drafting Services Clothing, Industrial & Protective Drain & Drainage Systems Coating Contractors

4 ILTA Supplier Member Directory Products and Services Index Page 4 of 6 - E - - G - Earthquake Services Gangways & Ramps Electrical Equipment Gas Detection Systems Emergency Response Services Gases, Industrial, Generators & Systems Emergency Shutdown Systems Gaskets & Packings Emissions Evaluation & Control Gauging Equipment Enclosure Systems Gauging Systems Engineering, Civil Grounding Controllers Engineering, Combustion Groundwater Pollution & Monitoring Engineering, Documentation Engineering, Electrical - H - Engineering, Environmental Engineering, Fire Protection Hardware Engineering, General Hazardous Materials Management Engineering, Geotechnical Heat Exchangers Engineering, Management Heat Tracing Engineering, Marine Heat Transfer Fluid Engineering, Mechanical Heating Equipment & Supplies Engineering, Rail Hose Assemblies & Fittings Engineering, Soil Hoses Enterprise Management Hot Oil Heaters Environmental Analysis & Assessment Hot Oils Environmental Management Hot Taps Environmental Permitting Hygiene, Industrial Environmental Services, General EPC (Engineering, Procurement, Construction) - I - Services Equipment Installation Incinerators Equipment Rental Industrial Cleaners Ethanol Systems Industrial Hose Assemblies & Fittings Expansion Joints Inspection Services Expert Witnesses Installation Services Instrumentation - F - Insulation Insulation, Piping & Blankets Fabrication Insulation, Tanks & Panels Facility Management Insurance Facility Planning Inventory Management Feasibility Studies Filters - J - Filtration Products Fire Protection Services & Equipment Joints Fire Response Fireproofing - K - Fittings Flame Arrestors Keylocks & Cardlocks Flares (See Vapor Control) Fleet Refueling Systems - L - Floating Suctions & Skimmers Flow Control & Measurement Laboratory Equipment & Services Fluid Handling Equipment Laboratory Technicians Fluid Systems Ladders Foam, Fire Fighting Lead Abatement Foundations Leak Detection Fuel Additives Lighting Protection Fueling Systems Line Stops

5 ILTA Supplier Member Directory Products and Services Index Page 5 of 6 Liners and Membrane Provers Lining, Installation & Repairs Public Awareness programs Liquid Level Controls & Indicators Pumps & Components Loading Arms Loading Rack Design Equipment - Q - Lubrication Equipment Lubricity Additives Quality Assurance Quick Disconnects - M - - R - Maintenance Services Manways Rail & Railcar Equipment & Services Marine Loading Arms Reclamation & Recycling Marketing & Advertising Refrigeration Measurement Systems Regulatory Compliance Mechanical Seals Remediation Metal Hose Assemblies RINS Metering Systems & Equipment Risk Assessment & Management Mixers Roof, Dome Monitoring Equipment & Services Roof, Fixed Roof, Floating - N - Roof, Seals & Seal Repair Roof Equipment & Services Nitrogen Roof Insulation Non-Hazardous Materials Management Roof Repair - O - - S - Odor Abatement Safety Analysis & Services Oil Water & Waste Water Treatment Safety Equipment Oil/Water Separators Sampling Equipment & Services Operations Management Sandblasting Operations, Services & Staffing SCADA Systems Optical Imaging (Infrared Camera) Scaffolding Overfill Detection Equipment Sealants Oxidizers Secondary Containment Security Services - P - Security Systems Sensors Paint & Coatings Site Assessment & Development Paint & Coatings Intumescent Silos Permit Acquisition Skid Systems Personnel Software Petroleum Reclamation Spill Prevention Pigs & Pigging Equipment Spill Response & Cleanup Pile Driving Staffing Services Pipe Stairways Pipe Fabrication Steam Equipment Pipe & Pipeline Contractors Steel and Steel Plate Pipe Fittings & Equipment Steel Jacket Insulation Pipe Freezing Strainers Pipeline Equipment & Services Surveyors Platforms Swivel Joints Plumbing Pollution Control - T - Pollution Control Equipment Pressure Testing Tags (Lockout, Tagout) Pressure Vessels Tank Abandonment Project Development & Management Tank Accessories

6 ILTA Supplier Member Directory Products and Services Index Page 6 of 6 Tank Equipment - V - Tank Foundation Repairs Tank Heating Vacuum Truck Vapor Control Tank Inerting Vacuum Trucks Tank Inspection, Robotic Valves Tank Inspectors Vapor Control & Recovery Tank Installation Ventilation Equipment Tank Lifting & Moving Vessel Supplies Tank Mainenance & Repair Video Security Systems Tank Removal Tank Truck Access Equipment - W - Tank Truck Hardware Tank Truck Indentification Waste Disposal Tanks, Chemical Waste Oil Purchase Tanks, Shop Fabricated Waste Oil Water Treatment Tanks, Steel Storage, Field Erected Waste Transportation & Disposal Tanks, Underground Water Blasting Tanks, Water Water Purification Technical Assistance, Temporary Water Treatment Equipment & Services Technical Services Water Treatment, Oil & Waste Telecommunications Waterproofing Telemetry Welding Equipment & Services Terminal Automation Wet Taps Terminal Design & Engineering Winches Testing Equipment & Services Wireless Tank Arms Testing, Destructive Testing, Hydrostatic Please note any additional products and/or services Testing, Non-destructive Testing, Ultrasonic Thermal Fluid Heaters below. We may be able to accommodate the request; however, we cannot guarantee that a new category will be added. Thermal Liquids Thermometers Tools Training Services Transportation Services Turnkey Equipment Please return the completed application to membership@ilta.org or fax to Print Application