Online Corporate Member Application

Corporate Membership Application

Corporate Membership Dues

The dues for Corporate Membership are based on the size of the company. If your company is 50 employees or less, the Corporate Membership dues are $325 and include two regular memberships. If your company is 51 employees or more, the dues are $1000 and include six memberships.
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Your organization has:(required)

Company Information:

Coporate individual member information:

Individual Member 1

Fields marked with * indicate a required field.
Title:
*Name:
*Job Title:
*Phone:
Fax:
*Email:
Check box if this person is at the same address as the company address above. (If different, please fill out address info below.):
Address 1:
Address 2:
Address 3:
City:
State / Province:
Postal Code / Zip:
Country:
One Division for each individual is included in your Corporate Membership dues. Please select the free Division below.
Division Affiliation:
Optional: Corporate Individuals may join local Sections.
Section Affiliation:
Check box to join National Institute of Ceramic Engineers (NICE) at no charge. (Optional)

Individual Member 2

Fields marked with * indicate a required field.
Title:
*Name:
*Job Title:
*Phone:
Fax:
*Email:
Check box if this person is at the same address as the company address above. (If different, please fill out address info below.):
Address 1:
Address 2:
Address 3:
City:
State / Province:
Postal Code / Zip:
Country:
One Division for each individual is included in your Corporate Membership dues. Please select the free Division below.
Division Affiliation:
Optional: Corporate Individuals may join local Sections.
Section Affiliation:
Check box to join National Institute of Ceramic Engineers (NICE) at no charge. (Optional)

Additional Individual Corporate Members

Note: If you are a small corporate member (1-50 employees), do not enter additional
corporate individuals' names.

Individual Member 3

Fields marked with * indicate a required field.
Title:
*Name:
*Job Title:
*Phone:
Fax:
*Email:
Check box if this person is at the same address as the company address above. (If different, please fill out address info below.):
Address 1:
Address 2:
Address 3:
City:
State / Province:
Postal Code / Zip:
Country:
One Division for each individual is included in your Corporate Membership dues. Please select the free Division below.
Division Affiliation:
Optional: Corporate Individuals may join local Sections.
Section Affiliation:
Check box to join National Institute of Ceramic Engineers (NICE) at no charge. (Optional)

Individual Member 4

Fields marked with * indicate a required field.
Title:
*Name:
*Job Title:
*Phone:
Fax:
*Email:
Check box if this person is at the same address as the company address above. (If different, please fill out address info below.):
Address 1:
Address 2:
Address 3:
City:
State / Province:
Postal Code / Zip:
Country:
One Division for each individual is included in your Corporate Membership dues. Please select the free Division below.
Division Affiliation:
Optional: Corporate Individuals may join local Sections.
Section Affiliation:
Check box to join National Institute of Ceramic Engineers (NICE) at no charge. (Optional)

Individual Member 5

Fields marked with * indicate a required field.
Title:
*Name:
*Job Title:
*Phone:
Fax:
*Email:
Check box if this person is at the same address as the company address above. (If different, please fill out address info below.):
Address 1:
Address 2:
Address 3:
City:
State / Province:
Postal Code / Zip:
Country:
One Division for each individual is included in your Corporate Membership dues. Please select the free Division below.
Division Affiliation:
Optional: Corporate Individuals may join local Sections.
Section Affiliation:
Check box to join National Institute of Ceramic Engineers (NICE) at no charge. (Optional)

Individual Member 6

Fields marked with * indicate a required field.
Title:
*Name:
*Job Title:
*Phone:
Fax:
*Email:
Check box if this person is at the same address as the company address above. (If different, please fill out address info below.):
Address 1:
Address 2:
Address 3:
City:
State / Province:
Postal Code / Zip:
Country:
One Division for each individual is included in your Corporate Membership dues. Please select the free Division below.
Division Affiliation:
Optional: Corporate Individuals may join local Sections.
Section Affiliation:
Check box to join National Institute of Ceramic Engineers (NICE) at no charge. (Optional)

Payment Information

Once you submit this form you will be taken to the payment screen. Payment is by Credit card or Pay Pal.