IEC of the Texas Panhandle
702 S. Madison
Amarillo, TX 79101
Application for Regular or Associate Membership Please Circle: Regular/ Associate Instructions: Please complete this form in its entirety. The primary contact must sign the Attestation of this form in order to be considered for membership. 
Persons Authorized to represent the firm in IEC activities:
Which classification best describes your firm? *
The firm hereby makes application for membership in the IEC and certifies that the foregoing statements are correct; that it will be governed by the Articles of Incorporation and Bylaws IEC. In becoming a member of IEC, I/we agree to support the IEC in its mission.
Electronic Signature *
Membership type *
Monthly Dues:
The following dues structure is effective February 18, 2016. It is based on the number of field electrical employees only. Do not include office staff.
Tax Implications of Membership:
9.25% of your total dues are used for lobbying Expenses and therefore non-deductible as a Business expense for Federal Income Tax Purposes.
$16 of your total dues is used for the IEC Insights Publication.
Authorized Signature *
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