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MEMBERSHIP FORM
Please complete
this form and mail with fee to:
NEW ENGLAND
FIBEROPTIC COUNCIL
P.O. BOX 67228
CHESTNUT HILL, MA 02467
TEL (617) 548-NEFC
Fax (617) 507-6397
Name________________________________________________________
Title__________________________________________________________
Company _____________________________________________________
Address______________________________________________________
City__________________________________________________________
State _________________ Zip___________________________________
TEL__________________________________________________________
FAX__________________________________________________________
E-Mail________________________________________________________
Web _________________________________________________________
___ Individual
___ Corporate
Membership fees are:
Individual:
$35
Corporate: --
Sales < $499K: $100
Sales $500K – $1.9M: $250
Sales $2M – $10M: $500
Sales > $10M: $1000
(membership fee must be included with this form)
Please mail check to:
NEFC
P.O. BOX 67228
CHESTNUT HILL, MA 02467
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