EGSA MEMBER CLASSIFICATION & DUES SCHEDULE (Choose appropriate membership below and enter amount in box #3 on reverse)

FULL MEMBERSHIP AnnualDues InitialtionFee TOTALDUE

MFManufacturer Membership Anyindividual,soleproprietor,partnershiporcorporationseekingmembershipmustapplyforaFullMembershipasamanufactureriftheymeetoneormoreofthefollowingcriteria:

1. Theymanufactureprimemoversforpowergeneration. 2. Theymanufacturegeneratorsorotherpowerconversiondevicesproducingelectricity. 3. Theymanufactureswitchgearorelectricalcontroldevices. 4. Theymanufactureorassemblegeneratorsets,UPSsystems,solarpower,hydropower,geothermal,oranyotherpowerproduction

orconversionsystemincludingrelatedcomponentsoraccessoriesfornationalorregionaldistribution. 5. Theyareawhollyownedsubsidiaryofafirmthatqualifiesunderrulesonethroughfour.

$870 $200 $1,070

DDDistributor/Dealer MembershipAnyindividual,soleproprietor,partnershiporcorporationactivelyengagedasadistributorordealerforproductslistedunderManufacturerMembershipmayapplyforFullMembershipasaDistributor/Dealer.Ifanorganiza-tionqualifiesunderManufacturerMembership,itisnotqualifiedunderthissection.

$310 $100 $410 CI Contractor/Integrator MembershipAnyindividual,soleproprietor,partnershiporcorporationactivelyengagedasaContrac-

tororEquipmentIntegratorofproductslistedunderManufacturerMembership,notboundbybrand,geographicterritoryorcon-tractuallyobligatedasaDistributor/Dealerofaspecificproduct.ThesefirmstypicallypurchaseproductsfromaDistributor/Dealer,ManufacturerorRetailer,addingvaluethroughinstallation,productknowledge,relationships,uniqueservices,etc.,andthenre-selltheresultingproducttoanend-user.

MRManufacturers Representative MembershipAnyindividual,soleproprietor,partnershiporcorporationactivelyengagedintherepresentationofproductslistedunderManufacturerMembershipmayapplyforFullMembershipasaManufacturersRepre-sentative.IfanorganizationqualifiesunderManufacturerMembership,itisnotqualifiedunderthissection.

EMEnergy Management Company Membership Anyindividual,soleproprietor,partnershiporcorporationengagedinenergymanagement,includingEnergyServiceCompanies(ESCOs),IndependentPowerProducers(IPPs),Integrators,Aggregators,andothersimilarenterprisesmayapplyforFullMembershipasanEnergyManagementCompany.

$210 $100 $310

ASSOCIATE MEMBERSHIP AnnualDues InitialtionFee TOTALDUE

Associate Regular Membership (Select Appropriate Category Below) $210 $100 $310 Associate Full MembershipAnyindividual,soleproprietor,academicinstitution,student,partnershiporcorporationmeetingthe

requirementsofAssociateRegularMembershipmayapplyforFullMembershipattheiroptiontoenjoy the privileges of Full Member-ship, including the rights to vote and to serve on EGSAs Board of Directors.Initiationfeesandannualdueswillbeassessedattheexistingnon-manufacturerFullMemberrates.(Select Appropriate Category Below)

$310 $100 $410

PLEASE SELEC

T ASSOCIATE MEM

BER

SHIP CATEG

ORY

AssociateMembershipCategories-SelectOne

AA Trade Publication Membership AnytradepublicationdealingwiththeelectricalgeneratingsystemsindustryoritssuppliersmayapplyforAssociateMem-bershipTradePublications.

AB Trade Association Membership AnytradeassociationmadeupofindividualorcompanymemberssharingacommoninterestintheelectricalgeneratingsystemsindustrymayapplyforAssociateMembership.

AC Engineer MembershipAnyconsultingorspecifyingengineermayapplyforAssociateMembershipEngineer.Membershipmayeitherbeheldintheem-ployersnameorindividualsnameunderthisclassification.IndividualswhoseemployerqualifyasaFullMember,asdescribedintheFullMembershipsection,donotqualifyforthiscategory.

AD End-User MembershipAnyindividualemployeeofacompanywhoownsoroperateselectricalgeneratingequipmentand/orrelatedswitchgearorcompo-nents,whoseresponsibilitytohisemployerincludesplanning,design,installation,supervision,orserviceofsuchequipmentmayapplyforAssociateMember-shipUser.Membershipmayeitherbeheldintheemployersnameorindividualsnameunderthisclassification.IndividualswhoseemployerqualifyasaFullMember,asdescribedintheFullMembershipsection,donotqualifyforthiscategory.

AE Service Membership Anyindividual,organizationoracademicinstitutionthatoffersservicessuchasresearch,testingorrepairtotheelectricalgeneratingsystemsindustrymayapplyforAssociateMembershipServices.Membershipmayeitherbeheldintheindividualsnameortheorganizationsnameunderthisclassification.IndividualcompanieswhoseemployerorparentorganizationqualifiesasaFullMember,asdescribedintheFullMembershipsection,donotqualifyforthiscategory.

AG Educational Institution Membership Anypostsecondaryvocational-technicalschoolorcollegeofferingon-sitepowergeneration-relatedinstructionmayapplyforAssociateMembershipEducationInstitution.

AM Military Membership Anyindividualwhoiscurrentlyenlisted,orwhohasbeendischarged,orhasretiredfromtheUSorCanadianMilitarymayapplyformembershipwithinthiscategory.ProofofmilitaryengagementisrequiredbyeithercurrentMilitaryIDcardorhonorabledischargedocuments.

$50 N/A $50

AR Retiree Membership AnyindividualwhoretiresfromamembercompanymayapplyforAssociateMembershipRetired.Thisclassificationdoesnotapplytoanyindividualwhoisemployedmorethan20hoursperweek.

Complimentary $0

AF Student Membership AnyindividualcurrentlyenrolledatanacademicinstitutionmayapplyforAssociateMembershipStudent. Complimentary $0

ApplicationforMembershipELECTRICAL GENERATING SYSTEMS ASSOCIATION

1650SouthDixieHighway,Suite400,BocaRaton,FL33432561-750-5575FAX561-395-8557E-Mail:e-mail@EGSA.orgWebsite:www.EGSA.org

Under the leadership of its Board of Directors and operating through its various committees and staff, EGSA strives to educate, provide network-ing opportunities and share relevant knowledge and trends with industry professionals including manufacturers, distributor/dealers, engineers, manufacturer representatives, contractor/integrators and others serving On-Site Power consumers.

1. Contact InformationCompany_________________________________________________________________________________________________________________________________

Address__________________________________________________________________________________________________________________________________

City_________________________________________________________________State/Province________________________________________________________

Zip/PostalCode ______________________________________________________Country_____________________________________________________________

Phone_______________________________________________________________FAX_________________________________________________________________

OfficialRepresentative_________________________________________________Title_________________________________________________________________

RepresentativesE-Mail________________________________________________CompanysWebAddress_______________________________________________

HowdidyouhearaboutEGSA? Website Powerlinemagazine Colleague POWER-GEN Other_____________________________________WhyareyoujoiningEGSA? CertificationProgram CEUProgram PowerSchools BuyingGuideListing Other_______________________

7. Official Representatives AuthorizationSignature____________________________________________________________________________________Date________________________________________

3. Membership Dues (PleasefillintheappropriateTOTALamountfromtheduesscheduleonpageone.)

MembershipDues $___________

MembershipPlaque(optional)** $___________

On-Site Power Reference Book(optional)** $___________

Florida Residents:Add6%SalesTaxto**items $___________** Shipping and handling is included for Continental US Residents.Non-Continental US Residents should call EGSA $___________Headquarters for shipping charges for **items. TOTAL $___________

4. Payment Method (PayableinUS$drawnonU.S.bank,U.S.MoneyOrder,orAmericanExpress)

Check#______________ AmountDue $____________ MastercardVisaAmericanExpress

Card#__________________________________ Exp.Date_______

Signature:________________________________________________

PrintName:_______________________________________________

5. Products/Services Pleasedescribethenatureofyourbusiness(50wordsorless,NOTALLCAPS).IfyouareaManufacturersRepresentativeorDistributor/Dealer,pleaseindicatewhichmanufacturersyourepresentand/ordistributefor;ifyouareastudent,pleaseprovidethenameandlocationofyourschool,yourmajorandyouranticipatedgraduationdate:

DoyoubuyANDsellequipment?YesNoDoyoumanufacturepackagedequipment?YesNo

6. Sponsor(s):ASponsorisanEGSAMemberwhointerestedyouinfillingoutthisapplication.ItisnotmandatorythatyouhaveasponsorfortheBoardtoactfavorablyonthisapplication;however,ifaMemberrecommendedthatyouconsidermembership,werequestthatindividualsnameandcompanynameforourrecords.

SponsorName ______________________________________________CompanyName_______________________________________________________________

01---Batteries/BatteryChargers02---Control/AnnunciatorSystems29---Education30---EmissionControlEquipment04---Enclosures,GeneratorSet05---Engines,DieselorGas06---Engines,GasTurbine

07---EngineStarters/StartingAids08---Filters,LubeOil,FuelorAir28---FuelCells03 FuelTanksandFuelStorage

Systems09---GeneratorLaminations10---GeneratorSets11---Generators/Alternators

12---Governors13---HeatRecoverySystems14 Instrumentsandcontrols,

includingmeters,gauges,relays,contactors,orswitches

15---LoadBanks16---MotorGeneratorSets17---Radiator/HeatExchangers

18---Relays,ProtectiveorSynchronizing19 Silencers/ExhaustSystems/Noise

Abatement20---Solenoids21---SwitchgearandTransferSwitches

(AutomaticorManual),BypassIso-lationSwitches,and/orSwitchgearPanels

22---Trailers,GeneratorSet23---Transformers24---UninterruptiblePowerSupplies25---VibrationIsolators26---VoltageRegulators27---WiringDevicesorReceptacles

Enter codes here: (Limit 10 codes per category)Products sold: ________ ________ ________ ________ ________ ________ ________ ________ ________ ________Products rented: ________ ________ ________ ________ ________ ________ ________ ________ ________ ________Products serviced: ________ ________ ________ ________ ________ ________ ________ ________ ________ ________

Available Codes:

2. Member Classification Pleaseusetheworksheetonpageoneofthisapplicationtodetermineyourmembershiptype. Full Memberships Associate Memberships (Select Appropriate Catagory) Service(AE) Manufacturer(MF) RegularAssociateMembership TradePublication(AA) EducationalInstitution(AG) Distributor/Dealer(DD) FullAssociateMembership TradeAssociation(AB) Military(AM) Contractor/Integrator(CI) Engineer(AC) Retiree(AR) Manufacturer'sRepresentative(MR) EndUser(AD) Student(AF) EnergyManagementCompany(EM)

49.95**

137.00**

LBustamanteText Box

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