The Edison Materials Technology Center
  Home  |   Programs  |   Contact |  About Us  |   News  |   Events  |   Map  |   Members  |   Join  |  
Main Menu
 EMTEC
Accelerating New Technology To Market
Interested in Joining EMTEC?
We are pleased you decided to apply for membership. Please supply the following information on both sides of this application and sign below. Please return/mail this original form accompanied with payment for the first year’s membership fee. Questions – please call us at 937-259-1365. Thank you.
COMPANY INFORMATION
Company Name
http://
Division (if applicable)
Date Founded
Mailing Address
Street Address (if differs from above)
City/State/Zip
Telephone
 Fax
 Email
General Business Category (e.g. Tool & Die, Foundry, Automotive)
 Primary S.I.C. Code (4-digit)
Major Product Focus
Total Number of Employees
In Ohio Total Worldwide
Market Focus




Minority Owned



Female Owned
INDUSTRIAL MEMBERSHIP FEE
Please contact Stetson Plank at (937) 253-0036 to make payment arrangements.

Thank You
1-99 Employees………..…..$ ...875
100-199………………….….$ 1,750
200-299………………….….$ 2,500
300-399………………….….$ 3,500
400-499………………….….$ 5,000
> 500…………………….….$10,000
AGREEMENT
On Behalf of , I herby commit $ per year for annual membership fees at
......................(company)................................................. (amount)
EMTEC (Membership fees may change as employee count changes). We understand this contribution will provide us with all of the benefits appropriate to EMTEC membership, and we agree to support and adhere to EMTEC policies.



TECHNICAL STEERING COMMITTEE REPRESENTATIVE/PRIMARY POINT OF CONTACT
The Technical Steering Committee (TSC) appointee represents your company’s technical priorities, votes on new Core Technology R&D projects, and reviews ongoing projects to ensure responsiveness to industry needs.
Name
Title
Street Address/P.O. Box
City/State/Zip
Telephone
 Fax
 Email
COMPANY PRESIDENT OR CEO
Name
Title
Street Address/P.O. Box
City/State/Zip
Telephone
 Fax
Email
BUSINESS OVERVIEW/HISTORY
EMTEC SERVICES YOU ARE FAMILIAR WITH OR HAVE USED

 
Events Quick Links
Opportunities at EMTEC
News
 
Copyright © EMTEC 2007