INSULATED CABLE ENGINEERS ASSOCIATION, Inc.

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INSULATED CABLE ENGINEERS ASSOCIATION, Inc.
P.O. Box 2694, Alpharetta, GA 30023 · USA
TEL: (770)416-7077· E Mail: [email protected] · FAX 770-416-7079
APPLICATION FOR MEMBERSHIP
Membership in any of the ICEA sections shall be confined to individuals who have a college degree or the
equivalent developed from at least four years of technical training. The applicant must be employed in a
technical capacity with the manufacturer of the cable product which is an ICEA sponsor. The applicant is
expected, by virtue of technical training and experience, to contribute to the purpose and activities of the
section for which application has been made. Members shall not be involved in activities such as pricing,
negotiating and/or closing of sales for any cable products.
NAME: ______________________________________________
(Please Print)
SPONSORING COMPANY: ____________________________
______________________________________________________
ADDRESS: __________________________________________
PHONE: ____________________________________________
FAX: __________________________________________________
E-MAIL: ____________________________________________
DESCRIPTION OF DUTIES: ____________________________________________________
_____________________________________________________________________________
EDUCATION (including schools, degrees and dates): ____________________________________
________________________________________________________________________________
TECHNICAL EXPERIENCE (including employer, dates and duties): ________________________
_________________________________________________________________________________
WIRE & CABLE PRODUCTS MANUFACTURED: _____________________________________
_________________________________________________________________________________
Division and Sections in which membership is requested: Indicate voting status desired V-voting
A-alternate N–No Participation Your application cannot be reviewed without either a V, A, or N in
every box
Energy Div
Power Cable Section
Communications Div
Copper Section
Control & Instrumentation Section
Fiber Section
Are you working in a technical capacity for your company?
Yes
APPLICANT: _________________________________________
Dues paying member:
Rev 10/14
Portable Cable Section
_________________________
No
Date: ______________
Title: ____________________
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