Please provide the following contact information:

First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Choose one of the following:

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.

 

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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

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MEMBERSHIP FEE MUST BE PAID BEFORE THIS ONLINE MEMBER APPLICATION FORM WILL BE PROCESSED.   PLEASE MAIL YOUR PAYMENT TO:

 

                        

Lou Greco

EIAA Provincial Office

164 Oakchurch Place SW

Calgary, Alberta T2V 4B5

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