IPC-A-610C(电子组装件的验收条件) - 第367页
Site Information : (Please pr int or type) Company Name Street Address City State Zip/P ostal Code Country Main Switchboard Phone No Main F ax No. Company E-Mail Address Website URL Name of Primar y Contact for all IPC m…
INDEPENDENT PRINTED CIRCUIT BOARD MANUFACTURER
This facility manufactures, and sells to other companies, printed wiring boards (PWB’s) or other electronic interconnection
products on the merchant market.
What products do you make for sale?
❏
One- and two-sided rigid, multilayer printed boards ❏ Flexible printed boards ❏ Other interconnections
Site General Manager_____________________________________________________________________________________
Name Title
EMSI COMPANY - Independent Electronics Assembly
This facility assembles printed wiring boards, on a contract basis, and may offer other electronic interconnection products for sale.
Site General Manager____________________________________________________________________________________
Name Title
OEM - Original Equipment Manufacturer
This facility purchases and/or manufactures printed wiring boards or other interconnection products for use in a final product,
which we manufacture and sell.
What is your company’s primary product line?
______________________________________________________________________________________________________
Site General Manager ____________________________________________________________________________________
Name Title
INDUSTRY SUPPLIER
This facility supplies raw materials, machinery, equipment, or services used in the manufacture or assembly of electronic
interconnection products.
What products or services does your company supply?
(50 word limit, please)
The information that you provide here will appear in the next edition of the IPC Membership Directory.
Our company supplies:
GOVERNMENT AGENCY/ACADEMIC TECHNICAL LIAISON
This government agency or accredited university, college or technical training school is directly concerned with design,
research and utilization of electronic interconnection devices. (Must be a non-profit or not-for-profit organization.)
Please proceed to page 2 to complete the membership application.
Thank you for your decision to join IPC, Association Connecting Electronics Industries. IPC membership is site specific, which
means that benefits of IPC membership are extended only to employees at the site that is designated on this application.
To help IPC serve your member site in the most effective manner possible, please tell us what work is being done at your
site by choosing the most appropriate member category.
(
Check one box only.)
❏
❏
❏
❏
Application for IPC Site Membership
ASSOCIATION CONNECTING
ELECTRONICS INDUSTRIES
®
1
❏
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.
2
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
3
Application for IPC Site Membership
ASSOCIATION CONNECTING
ELECTRONICS INDUSTRIES
®