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New Membership Form

This is where you join eeconsult.org, ORCNET, the Oregon IEEE Consultant's Network. You must already be an IEEE member, and agree to the IEEE Code of Ethics.

Annual dues are $50, and are due April 1st. New memberships between October 1st and April 1st are prorated to $25. These are dues for ORCNET only, and are in addition to your IEEE dues.

After filling out this form, please send a check to the ORCNET Treasurer.
Your webpage will be created after the webmaster learns that ORCNET got paid.




Name and Title (e.g. John Q. McNab II, MD)
Consulting Company name

Certifications/licenses, e.g. P.E. (Oregon) in Control Systems Engineering



IEEE member number
Membership grade (e.g., Senior Member)
Address
Addr 2 or blank
Addr 3 or blank
City
State (two letter, e.g. "OR") Zip
Telephone number including area code, e.g. (503) 555-4333
Fax Number including area code

E-mail address (e.g., fred@circuitsville.com )


WWW address (e.g., http://www.circuitsville.com/~fred )


Categories, select up to 8: ... (Why such lame categories?)


Fifty (50) word maximum description of your consulting specialty for your individual web page. Add carriage returns to adjust the width, and observe results on the preview page



Twenty (20) word maximum description of your consulting specialty for the two line local consultants index listing


Do you want to get calls from recruiters about full time employment? yes no


After filling out this form, please send a check to the ORCNET Treasurer.
Your webpage will be created after the webmaster learns that ORCNET got paid.

Please use your browser to print a copy of this form, after you have filled it out. Data sometimes gets lost.

© 2006 by the Oregon Consultants' Network, Portland, Oregon, USA. For information, e-mail the webmaster.
Page last modified Sun Nov 05 2006 20:00