Fillable 2021 Membership Application (Electrical Association)

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2021 Membership Application (Electrical Association)

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Country of origin: US
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ELECTRICAL CONTRACTORS
2021 Membership Application
WHICH MEMBER BENEFITS INTEREST YOU THE MOST?
Use this form if you employee over 16 electricians.
Electrical Contractor Membership is for Minnesota-licensed electrical contractors only.
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.
Newsletters and Government Action Alerts
LobbyingatLegislature
Discounts on Class/Apprentice Training
Networking Opportunities
MarkettoyourcustomersusingtheAssociationtrade
name
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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