Name of Company or Organisation
Office Address
Postal Address
Principal's (Chief Executive's) Name and Designation:

Alternate
Telephone No
Fax
Number of Employees
The Constitution defines "Employee" as any person in the
Company's employment for more than three months in
any year whether such period of service is broken or not.
Brief Description of Business Activity
Trade Groups in which you wish to be included
(See attached booklet on "Common Interest Groups")
The amount of your present issued and paid-up Share Capita:

State(s) in which you operate
Name(s) and Address(es) of Person(s) to receive the Association's Newsletter
1)

2)

Entrance Fee: N
Subscription: N
Total: N
(Note: Download Subscription Rates. A cheque
to cover the Entrance Fee and the Subscription for
the year should be forwarded with this application)
Proposed by
Seconded by
(Note: Both proposer and seconder must be active members of NECA)

I/We have read the rules and objects of the Association and
agree that, if elected to membership, will subscribe to those objects
and pay the subscription due to theAssociation upon request.