IPC-A-610C(电子组装件的验收条件).pdf - 第368页

Enclosed is our check/mone y order for $________________________ Mail application with check or mone y order to: IPC Dept. 77-3491 Chicago, IL 60678-3491 Fax or mail application with credit car d payment to: IPC * 2215 S…

Site Information: (Please print or type)

Company Name

Street Address

City State Zip/Postal Code Country

Main Switchboard Phone No Main Fax No.

Company E-Mail Address Website URL

Name of Primary Contact for all IPC matters Title Mail Stop

Phone No. Fax No E-Mail

Name of Senior Management Contact: Title: Mail Stop

Phone No Fax No E-Mail

Please designate your site’s Technical Representatives:

For PWB/PWA design-related information and activities:

Contact Name Title Phone Fax E-mail

For PCB fabrication-related information and activities:

Contact Name Title Phone Fax E-mail

For Electronics Assembly-related information and activities:

Contact Name Title Phone Fax E-mail

Please designate your site’s Management Representatives:

For PWB/PWA design-related information and activities:

Contact Name Title Phone Fax E-mail

For PCB fabrication-related information and activities:

Contact Name Title Phone Fax E-mail

For Electronics Assembly-related information and activities:

Contact Name Title Phone Fax E-mail

Please attach business card of primary contact here.

Please proceed to page 3 to complete the membership application.

Application for IPC Site Membership

ASSOCIATION CONNECTING

ELECTRONICS INDUSTRIES

Enclosed is our check/money order for $________________________

Mail application with check or money order to:

IPC

Dept. 77-3491

Chicago, IL 60678-3491

Fax or mail application with credit card payment to:

IPC

* 2215 Sanders Road

Northbrook, IL 60062-6135

Tel: 847-509-9700

Fax: 847-509-9798

* Overnight deliveries to this address only

Please bill my credit card (circle one) for $_______________________

❏ MasterCard ❏ American Express ❏ Visa ❏ Diners Club

Account No Expiration Date

Name of Card Holder

Authorized Signature

Phone Number

MEMBERSHIP DUES SCHEDULE

Please check one:

❏ $1,000.00 – Annual dues for Primary Site Membership

Twelve months of IPC membership begins from the

time the application and payment are received at the

IPC office.

❏ $800.00 – Annual dues for Additional Facility

Membership

An additional membership for a site within an organi-

zation where there already is a current Primary Site

IPC membership.

❏ $600.00** – Annual dues for an independent PCB/PWA

fabricator or independent EMSI provider with annual

sales of less than $1,000,000.00. USD

** Please provide proof of annual sales.

❏ $250.00 – Annual dues for Government Agency or

Academic Technical Liaison Membership. Must be

not-for-profit organization.

TMRC MEMBERSHIP

❏ Please send information on participation in the

Technology Market Research Council (TMRC) program.

Only current IPC member sites are eligible to participate

in this calendar year program, which is available for an

additional fee.

❏ Yes, sign up our site now:

$950.00 - Primary TMRC member site

$400.00 - Additional facility TMRC member. Another

site within our organization is already a

TMRC program participant.

Name of Primary Contact for all TMRC matters:

Phone Fax

E-Mail

QUESTIONS ?

Call the IPC Member Services Department in Northbrook, Illinois,

at: 847-509-9700 (extensions 5309/5372)

or fax us at 847.509-9798

E-mail: JeanetteFerdman@ipc.org SusanStorck@ipc.org

PAYMENT INFORMATION

Please proceed to page 4 to complete the membership application.

Tech doc

Application for IPC Site Membership

ASSOCIATION CONNECTING

ELECTRONICS INDUSTRIES

INFORMATION DISTRIBUTION

IPC has significant member benefits available to a wide range of individuals within your organization. To ensure that your facility

takes advantage of these benefits, please provide the name of the individual responsible for each of the functional areas listed

below. If one person has multiple responsibilities, please list that person’s name as many times as necessary.

Chief Executive: