Primary Contact

The Primary Contact for NEMA Associate membership will be the primary point of contact who will coordinate with NEMA’s Membership department on a wide range of matters relevant to the Associate’s member engagement.

Primary Contact Name

Primary Contact Title

Primary Contact Email

Primary Contact Phone

Executive Contact

The Executive Contact should be the most senior leadership representative who will interact with NEMA on significant issues and strategy discussions. Often this is the President or CEO, VP of Marketing and/or Business Development, or the equivalent leader for the company’s NA electrical/energy/utilities business units.

Name of Executive Contact

Executive Contact Title

Executive Contact Email

Executive Contact Assistant’s Email

Billing Contact (if different than the primary contact)

Billing Contact Name

Billing Contact Email

Business Objectives for Joining NEMA

Please describe your purpose for joining

Industrial Affiliation(s)

List of other trade associations

Please list other trade associations you currently participate in, as well as existing customers, clients, or alliances you have with current NEMA’s members.

Commitment Level

Select one

Signature

Please type, "I Agree" to digitally sign

I agree to adhere to the NEMA Bylaws and will pay an annual fee for NEMA Associate Membership and privileges. I also understand that my membership will automatically renew in January each year.

I have read NEMA's Privacy Policy and voluntarily consent to the collection storage and use of my personal data provided to NEMA as described in the Privacy Policy*

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Associate Membership Application

Company Information

Primary Contact

Executive Contact

Executive Contact

Industrial Affiliation(s)

Commitment Level

Signature

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Associate Membership Application

Company Information

Primary Contact

Executive Contact

Executive Contact

Industrial Affiliation(s)

Commitment Level

Signature

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