Virginia Energy Purchasing Governmental Association (VEPGA) Contact Form

VEPGA Account Number 

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* 1. VEPGA Account Number 

VEPGA Entity Name 

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* 2. VEPGA Entity Name 

Name of the VEPGA designated contact person

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* 3. Name of the VEPGA designated contact person

Title of the VEPGA designated contact person

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* 4. Title of the VEPGA designated contact person

Email address for VEPGA designated contact

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* 5. Email address for VEPGA designated contact

Mailing address for VEPGA designated contact

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* 6. Mailing address for VEPGA designated contact

Phone number for VEPGA designated contact 

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* 7. Phone number for VEPGA designated contact 

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