Transformers
Committee
Application for Membership
Appendix B
Name ____________________________________________________________________________________
Company _________________________________________________________________________________
Address___________________________________________________________________________________
Telephone:_____________________________________Fax: _______________________________________
IEEE Member Grade_____________________________IEEE Member________________________________
Member PES? |_| Yes |_| No
Please note membership eligibility requirements on reverse.
List principal subcommittee and working group activity. This application is to be signed by the respective chairmen as references. At least one reference must be a subcommittee chairman, who will sponsor the applicant.
1. Subcommittee/Working Group
______________________________________________________________
Duration ______________Chairman (Signature)
__________________________________________________
2. Subcommittee/Working Group
______________________________________________________________
Duration ______________Chairman
(Signature)___________________________________________________
3. Subcommittee/Working Group
______________________________________________________________
Duration ______________Chairman
(Signature)___________________________________________________
Check the classification most appropriate for your position:
|_| Producer or Manufacturer Interests - Those directly concerned with the production of products which are covered by documents prepared by the Transformers Committee.
|_| Consumer or User Interests - Those who apply or use products which are covered by documents prepared by the Transformers Committee.
|_| General Interest - Those who have interests other than those described above.
Signed _________________________________________________
Date:___________________________
Approved by Administrative Subcommittee:
Chairman
_______________________________________________Date:___________________________