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Membership Application: Commercial

The information submitted via this application form and the associated payment method form will be transmitted through our secure server. If you prefer you may download the Commercial Membership Application Form and mail or fax it to the Membership Department as indicated above.

APCO's Pro-ration schedule
Headquarters staff shall invoice dues at the full applicable rate for each individual becoming a new member during January through March. Individuals applying for membership from April through September shall be invoiced at the full applicable rate, but the following calendar year's dues shall be pro-rated and credit given for the months of the second year that were previously paid by the member's first year's dues. New members joining from October through December shall not be invoiced dues for that calendar year.

SELECT  MEMBERSHIP  CATEGORY
   Commercial: $154
Those persons who receive compensation in any form for products or services rendered in business and industry are eligible to be commercial members. Except for the Corporate Advisory Committee Member on the Executive Council, voting privileges are not extended to Commercial Members. They may otherwise enjoy all benefits and privileges of the Association.

APPLICANT  INFORMATION
* Denotes Information Required
* First Name
Middle Initial
* Last Name
* Title
* Organization
* Mailing Address
* City
* State
* Country
* ZIP
Referred by:
* Mailing Address Is   (check all that apply)
Work           Home ( Insert Mailing Address into Home Address below)
* Phone (preferred)

   Work  Home
Phone (alternate)

  Work Home
Fax


  Amateur Radio Call Sign
  Email Address
  Home Address
  City
  State
  Country
  ZIP

* Mail Correspondence To:

Work Address
Home Address


MEMBER  PROFILE
* Category (select one)

  Manufacturer

  Equipment Vendor/Distributor

  Consultant Services

  Other

* Job Classification (select one)

  Organization Chief Executive Officer

  Organization Deputy Chief Executive (second)

  Manager/Supervisor

  Product Specialist

  Marketing/Sales

  Other


 
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