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Join EATIC

You can join EATIC today! Simply fill out the form below, then press the SUBMIT button at the bottom of the page to send it to us for further action. You do not have to send any credit card information with this form; we will bill you after your membership application has been verified.

With your paid membership, EATIC will send to you a free 2001 EATIC calendar, coffee cup and pens.

Organization Information

 

Name of Organization:

Address:

City / State / Zip:

Chairman's Name:

President's Name:

CEO's Name:
(if not one of the above)

Contact Information

 

Name:

Title:

Mailing Address:

City, State or Region & Post/Zip Code:

Phone:
Please include your country code (1 for US, Canada and most Caribbean countries) and city or area code if applicable.

Fax:

Email:

Principal Business of Firm
(check all that apply)

 

Manufacturing

EMC

Licensing

Banking

Distributor

Other

If "Other" please specify

Membership Type
(check one)

For more information about our various membership categories, please email us.

Platinum

Sponsor

Corporate

Individual

An EATIC Member Will Contact Your About Membership Fees
And Other Matters Once We Receive This Form


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