IPC-D-279 EN.pdf - 第146页
2215 Sanders Road Northbrook, Illinois 60062-6135 Tel Fax URL: 847 509.9700 847 509.9798 http://www.ipc.org
A PPLICATION FOR SITE MEMBERSHIP
Our facility purchases, uses and/or manufactures printed wiring boards or other electronic interconnection products for our own
use in a final product. Also known as original equipment manufacturers (OEM).
We are representatives of a government agency, university, college, technical institute who are directly concerned with design,
research, and utilization of electronic interconnection devices. (Must be a non-profit or not-for-profit organization.)
One-sided and two-sided rigid printed
boards
Multilayer printed boards
Flexible printed boards
Flat cable
Hybrid circuits
Discrete wiring devices
Other interconnections
IS YOUR INTEREST IN:
purchasing/manufacture of printed circuit boards
purchasing/manufacturing printed circuit assemblies
What is your company’s main product line? __________________________________________________________________
WHAT PRODUCTS DO YOU
MAKE FOR SALE
?
Turnkey
SMT
Chip Scale Technology
Through-hole
Mixed Technology
Consignment
BGA
Our facility assembles printed wiring boards on a contract basis and/or offers other electronic interconnection products for sale.
Our facility supplies raw materials, machinery, equipment or services used in the manufacture or assembly of electronic inter-
connection products.
Thank you for your decision to join IPC members on the “Intelligent Path to Competitiveness”! IPC Membership is
site specific, which means that IPC member benefits are available to all individuals employed at the site designat-
ed on the other side of this application.
To help IPC serve your member site in the most efficient manner possible, please tell us what your facility does by
choosing the most appropriate member category.
Our facility manufactures and sells to other companies, printed wiring boards or other electronic interconnection products on
the merchant market.
Name of Chief Executive Officer/President___________________________________________________________________
Name of Chief Executive Officer/President
________________________ _
What products do you supply?_____________________________________________________________________________
Please be sure both sides of this application are correctly completed
PLEASE CHECK
APPROPRIATE
CATEGORY
■
INDEPENDENT
PRINTED BOARD
MANUFACTURERS
■
INDEPENDENT
P
RINTED BOARD
ASSEMBLERS
EMSI COMPANIES
■
OEM –
M
ANUFACTURERS
OF ANY END
PRODUCT
USING
PCB/PCAS
OR
CAPTIVE
MANUFACTURERS
OF
PCBS/PCAS
■
INDUSTRY
SUPPLIERS
■
G
OVERNMENT
AGENCIES/
A
CADEMIC
TECHNICAL
LIAISONS
PLEASE ATTACH BUSINESS CARD
OF OFFICIAL REPRESENTATIVE HERE
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)
❏ $800.00 Annual dues for Additional Facility Membership: Additional membership for a site within an organization where
another site is considered to be the primary IPC member.
❏ $600.00** Annual dues for an independent PCB/PWAfabricator or independent EMSI provider with annual sales of less than
$1,000,000.00. **Please provide proof of annual sales.
❏ $250.00 Annual dues for Government Agency/University/not-for-profit organization
TMRC Membership
❏ Please send me information on Membership in the Technology Marketing Research Council (TMRC)
AMRC Membership
❏ Please send me information for Membership in the Assembly Marketing Research Council (AMRC)
Mail application with
check or money order to:
IPC
Dept. 77-3491
Chicago, IL 60678-3491
Fax/Mail application with
credit card payment to:
IPC
2215 Sanders Road
Northbrook, IL 60062-6135
Tel: 847 509.9700
Fax: 847 509.9798
Payment Information
Enclosed is our check for $
Please bill my credit card: (circle one) MC AMEX VISA DINERS
Card No. Exp date ____________________
Authorized Signature
Site Information:
Company Name
Street Address
City State Zip Country
Main Phone No. Fax
Primary Contact Name
Title Mail Stop
Phone Fax e-mail
Alternate Contact Name
Title Mail Stop
Phone Fax e-mail
A PPLICATION FOR SITE MEMBERSHIP
2215 Sanders Road
Northbrook, Illinois
60062-6135
Tel
Fax
URL:
847 509.9700
847 509.9798
http://www.ipc.org