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MEMBERSHIP APPLICATION FORM -
2005
Name of Organization: ______________________________________________________________
Assigned representative to NCEE ___________________________________________________
Mailing Address: _______________________________
_______________________________
_______________________________
Phone: _________________________________________
FAX: _________________________________________
e-mail address: ________________________________ (Company representative to NCEE)
Web address: _____________________________________
Annual dues amount: $ 350.00/12 months Three hundred fifty dollars.
Please make out company check to: NCEE
Mail to:
Treasurer, Steve Gelman
c/o PSA
71 Columbia St
Cohoes, NY 12047
Ph: (518 237 7777)
Statement: Our company wishes to become a member of and support the goals of the NCEE. Those goals are:
1. to seek to expand training opportunities and increase the number of trained technicians in the industry.
2. to promote electronic servicing as a desirable professional career
3. to promote the electronics and appliance professions
4. to work with industry and educational groups to improve electronics training courses
5. to assist both public and private educational systems in assessing electronics education needs
6. to help mold and standardize electronics training courses to provide needed technical workers for the public good and potential national defense
7. to seek financial assistance to promote the above, from industry, education and government within the meaning of Section 501C6 of the Internal Revenue Code of 1986, or corresponding provisions of any subsequent U.S. federal tax laws.
Company Representative Signature: X________________________ Date_______________
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