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Membership Application
Click Here
if you would prefer to download the PDF Application.
Name of Chapter
*
Chapter Division Name
Firm / Company Information
Firm / Company Name
*
Street Address (No P.O. Boxes)
*
Street Address
Address Line 2
City
Alabama
Alaska
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Delaware
District of Columbia
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Guam
Hawaii
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
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Montana
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New Hampshire
New Jersey
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New York
North Carolina
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Northern Mariana Islands
Ohio
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Fax
*
Federal Registration #
*
Mailing Address (If Different From Above)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Company Website
General Information Email (if different from Primary Contact)
Company has been in the electrical contracting business since?
*
Year
Company is party to a labor agreement with the IBEW?
*
Yes
No
If yes, IBEW Local Union #
Company previously held NECA membership:
*
Yes
No
If yes, it was terminated in (mm/yyyy):
Firm/Company currently holds membership(s) in other NECA chapter(s)
*
Yes
No
PRIMARY CONTACT INFORMATION
The membership shall stand in the name of the person, firm or corporation engaged in electrical contracting. Each member shall have a duly accredited representative listed with the National Association who shall be the owner, a partner or officer, or occupy a responsible position with the member.
Name (Mr./Ms./Mrs.)
*
Title
Signature
Max. file size: 10 MB.
Email
*
Date
*
MM slash DD slash YYYY
Understanding
All applications are subject to board approval.
We understand that if approved for membership, we will receive a Membership Plaque on loan and the right to use the trademarked NECA logos and seal. We agree to immediately surrender the Membership Plaque to the Secretary of the National Association and to cease use of logos and seal upon termination of our membership for any reason. We agree to abide by the governing documents (Constitution, Bylaws, etc.) of the National Association and chapter now in force, as well as those that may be properly adopted in the future. We understand that contributions or gifts to NECA are not deductible for Federal Income Tax purposes as “charitable contributions”, but may be deductible as ordinary and necessary business expenses.
PAYMENT INFORMATION
We enclose payment to “NECA” (or credit card information below) for National dues for the first twelve months in the amount of $
Credit Card Information -Type
Visa
Master Card
AmEx
Exp Date (MM/YYY)
Name on Card
Credit Card #
Authorization Code
Signature
Max. file size: 10 MB.
APPLICATION APPROVAL
Chapter Manager Signature
Max. file size: 10 MB.
Date
MM slash DD slash YYYY
Disclaimer
Normal mailing of membership material goes directly to the new member. If you prefer, we can mail the material to the chapter for personal delivery to the new member.
BUSINESS CODE WORKSHEET
*Check any / all that apply
Types of Work
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Commercial/ Industrial/ Institutional
Residential
Non-Building (Utility, municipal, parking structures, runways, etc.)
Data and Communications
Structured Wiring & Cabling
Communications & Networking Systems
Data Centers
Energy Management, Power Quality & Energy Monitoring
Energy Solutions
Energy Efficiency & Conservation
Fuel Cell
Microgrid
Green Building & Sustainable Construction
Energy Audits
Solar
Wind
Geothermal
Combined Heat & Power
Smart or Net Metering
Electrical Vehicle Charging Stations
Energy Storage
General – Power
Residential
Commercial, Industrial, Institutional
Service & Maintenance
Lighting
Lighting Install, Maintenance & Service
Lighting Controls
Lighting Retrofit
Low Voltage/Automation/Controls Systems
Fire & Life Safety
Building & Automation Systems
Industrial Controls
Security Systems, CCTV & Access Control
CATV
Sound & Video
Power and Distribution
Substations
Transmission & Distribution
Underground
Smart Grid
Power Generation
Tree Trimming/Line Clearance
Specialty
Marine
Cable Splicing
Signage
Motor Repair
Instrumentation
Street Lighting & Traffic Control
Remote System Management
Building Renovation
Storm Management & Recovery
Electrical Testing