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Member Application Form


Name:                                                                                      

Address:                                                                                   

City/Town:                                                                               

Postal Code:                                                                            

PHONE:

 Home                                                               Business                                                                    

Cell                                                                   Fax#                                                                            

E-mail Address                                                                        

Employer/Company (option):                                                  

Active Member        _________         

Members active in the Electrical Inspection field and entitled to voting rights.                 

Associate Member __________

Member who is associated in the Electrical Industry through merchandising,

architectural design, engineering, teaching etc. and less voting rights.

 

Signature_________________________________________________


Dues - ( see By-Law article VII)

New Member Initiation Fee                                       $10.00

Yearly Membership (to be paid  by April 1st 2010     $40.00

Total                                                                         $50.00


Please make check payable to E.I.A.A. and return application to:

Lou Greco

EIAA Provincial Office

164 Oakchurch Place SW

Calgary, Alberta T2V4B5