*1.To receive notice about CCIF events, products, and related information, please provide the contact information requested.  Contact almost exclusively by email.(Required.)

Name *

Organization *

Address *

Address 2

City/Town *

State/Province *

AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming

ZIP Code *

Title *

Email and CC Email if applicable *

Phone Numbers (work and/or cell) *

2.Please indicate organization type.

State Commissioner/Regulator

State Commission Staff

Consumer Advocate

Electric Company Representative

Large Commercial (National Key Account) Customer

NARUC Team

NASUCA Team

CCIF/EEI Team

Other (please specify)

*3.Please indicate topic areas of interest and/or expertise (check all that apply).(Required.)

Clean Energy Transition/Technologies

Customer Solutions/Outreach

Distributed Generation

Distribution Grid Resilience

Electric Transportation

Fed/State Jurisdictional Issues

Grid Modernization

Rate Design

Smart Communities

All Energy Regulatory/Policy Issues

4.Do you have any other comments, questions, or concerns?