EmailMe Form - Associate/Industry - IEC Membership Application

Associate/Industry - IEC Membership Application

The applicant for Associate/Industry Partner in IEC shall be a company or corporation who is not a registered electrical contractor but whose products/services are allied to the electrical contracting industry.

Once application is submitted, you will be notified within five business days if your membership application is accepted or denied. Once accepted, IEC membership is continuous unless terminated in writing. Members agree to abide by all rules and code of ethics of the organization.

Associate/Industry Partner Membership Dues are paid annually.

Application Fee: $200

Company *
Year Founded
Phone *
### - ### - ####
Web Site
Physical Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
County
Is this address the company headquarters?
Yes
No
Membership Category *
Associate Member - A member who is not an Electrical Contractor with standard member benefits. (Examples: Attorney, Banker, Insurance, anyone who supplies a service to the industry.)

Industry Partner - A member who is not an Electrical Contractor but supplies materials to the industry. (Examples: Material Supplier, Equipment, Manufacturer, anyone who supplies a material to the industry.
Type of Work *
Primary Contact
First Last
Primary Cell Phone Number
### - ### - ####
Primary Email
Are you the company owner? *
Yes
No
Are you a member of another IEC Chapter? *
Yes
No
Unknown
If Yes, what chapter?
How did you hear about us or who referred you? *
Why are you interested in becoming an IEC member? *
Tell us a little more about your company. *
By checking this box, you agree to receive text messages from (IEC Dallas) regarding (SMS communication). Message freq. varies but will not be more than [5 Messages Per Day] messages per day unless there is a notification event).

Reply HELP for help. Reply STOP to opt out. SMS SHARING DISCLOSURE: No mobile information will be shared with third parties/affiliates for marketing/promotional purposes at any time.
I AGREE TO RECEIVE TEXT MESSAGES FROM IEC DALLAS
I DO NOT AGREE TO RECEIVING TEXT MESSAGES FROM IEC DALLAS
Payment Information
Name on Card *
Credit Card *

Card Number

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Billing Zip Code *

Payment Information