PJM - Enrollment/Change Form

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The Committee Member Enrollment/Change form is used to: Update your information, Enroll or remove members on the PJM committee rosters, and Subscribe or unsubscribe members from the e-mail lists. Note: You will be added to the e-mail lists and rosters upon approval of the e-mail list owner or committee secretary. * Required
Update your information:
* Update E-mail List(s): Yes No
* Update Roster(s): Yes No
* Sector:

Please select your member company name below. If your company is not in the list below, please select other and fill in the appropriate name.
Member Company:
	Other:
Select Type: Primary Alternate
If you are replacing a representative, please provide us with their name:
New Representative's Information:
* First:		* Last:
Nickname:		Title:
* Mailing Address:
Shipping Address:
* Phone (w/area code):	- -	Fax (w/area code):
*E-mail:		Web site:
* Please list all committees affected by this change: (e.g., MC, MRC, PC, GWG, etc.)

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