Partner Member Application

INDUSTRY & ASSOCIATE PARTNER APPLICATION

WESTERN COLORADO IEC PO Box 1052 Glenwood Springs, CO 81602 em:wceic@qwestoffice.net ph: 970.945.1079
The electrical industry is a cohesive one because of the partnerships developed throughout the years between manufacturers, distributors, service providers, and the electrical contractors.

IEC strengthens that partnership by offering various levels of associate, or "Industry & Associate Partners" membership.

Application for the Industry & Associate Partner membership in the IEC is limited to firms whose products are aligned or allied to the electrical contracting business. By completing this application form applicants acknowledge that they are in accord with the stated principles of this association, that they agree to abide by its Bylaws, and that they further agree to pay any and all Association dues when incurred.
COMPANY NAME*
Name of Your Company
MAIN PRODUCT OR SERVICE*
ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
WEBSITE*
https://www.yourcompany.com
EMAIL*
example@example.com
COMPANY PHONE*
Please enter a valid phone number.
FAX #
Please enter a valid phone number.
MAIN CONTACT & TITLE*

First & Last NameTitle
EMAIL*
example@example.com
CONTACT PHONE*
Please enter a valid phone number.
Membership is continuous. All dues are PAYABLE TO WESTERN COLORADO IEC. This application is subject to final approval from the Western Colorado IEC Board of Directors.
- IEC National Annual Dues are required - Industry &Associate Partners pay $100/year for IEC National dues. National dues are paid to WESTERN COLORADO IEC. If your company belongs to more than one chapter. IEC National dues are payable with each chapter.
- Western Colorado Chapter Annual Due - Western Colorado Chapter IEC annual dues will be prorated quarterly based on your date of membership. Dues are payable with your application. The four types of Industry Partnerships are listed below.
Please contact the chapter if you have any questions.
PARTNER MEMBER LEVELS & FEES
PARTNER MEMBERSHIP LEVEL*
PAYMENT OPTIONS*
DATE*

MonthDayYear
Date
SIGNATURE*

Clear
By entering your name you are approving this submission & agreeing to the terms stated above.
PLEASE VERIFY YOU ARE HUMAN*
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INDUSTRY & ASSOCIATE PARTNER APPLICATION