Fillable 2021 Membership Application (Electrical Association)

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2021 Membership Application (Electrical Association)

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Country of origin: US
File type: PDF

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TECHNOLOGY SYSTEMS CONTRACTORS
2021 Membership Application
WHICH MEMBER BENEFITS INTEREST YOU THE MOST?
Use this form if you employee over 16 electricians.
Technology Systems Contractor Membership is for MN licensed technology system contractors only.
Newsletters and Government Action Alerts
Lobbying at Legislature
Discounts on Class/Apprentice Training
Networking Opportunities
Market to your customers using the Association trade
name
Discount Programs for Products and Services
FreeWage&BenetReportforrespondingtosurvey
Free Electrical Toolbox Talks
FreeAWAIRManual
Free 8 hrs Association Code class for you or one of your
employees
I am also registering for a class and need a membership discount! If you are registering for a class,
check this box and we will apply the membership discount when we process your total order.
Registering
for a class?
NEW MEMBER INFORMATION:
Yearly Dues: $1200
Check enclosed Credit Card (Visa, Mastercard, AmEx)
Credit card #: ________________________________________________________________________________________
Exp. Date: __________ Security Code:__________ Name on Card: _____________________________________________
Enrollinautopay(dueswillbedraftedfromyourcreditcardonleannually)
BillingAddress(ifdierentthanabove):
_____________________________________________________________________________
ENCLOSE PAYMENT WITH APPLICATION:
Return your membership application with payment:
MAIL
3100 Humboldt Ave S
Minneapolis, MN 55408
EMAIL
info@
electricalassociation.com
PHONE
612-827-6117
800-829-6117
FAX
612-827-0920
Company: _________________________________________________________________________________
Designated Contact: _________________________________________________________________________
License #: _________________________________________________________________________________
Address: __________________________________________________________________________________
City/State/Zip: ______________________________________________________________________________
Phone: ____________________________________________________________________________________
Fax: ______________________________________________________________________________________
Email: _____________________________________________________________________________________
Web Site: _________________________________________________________________________________
# of Employees: ____________________________________________________________________________
IBEW Merit Shop CLA
Referredby: _______________________________________________________________________________
How did you hear about us? ___________________________________________________________________
ElectricalAssociationmemberswillreceivepromotionalemailsonaregularbasisforproductsandservicesoered
to assist their business needs.
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2021 Membership Application (Electrical Association)

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Completed 17 July 2021

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