IEEE
CONSULTANTS' NETWORK
MEMBERSHIP APPLICATION 2005
This
form
must be completed and signed for membership. Those
wishing to be Consulting members should also submit their resume (IN THE
STANDARD FORMAT) to cn_application2005@qualware.com
for inclusion in the website, directory, flyers, and referral service.
The automated server at this address only accepts messages in the standard
format.
The procedures and required format are described in“Membership
Application Instructions" at http://www.boston-consult.org/memapp.htm.
IF LAST YEAR'S INFORMATION IS STILL CURRENT, THERE IS NO NEED TO SUPPLY
NEW RESUME INFORMATION.
Any resume data submitted on paper will incure a $15 transcription
fee.
Name:______________________________________ IEEE
Number: _________________
Company
Name (if applicable):________________________________________________
Street
Address:_____________________________________________________________
City:________________________________________ State:_________ ZIP:_________
Home
Phone:_________________________________ Business
Phone:_______________
EMail:______________________________________ Fax:_________________________
___
I wish to be a consulting member, offering my services in the CN
directory and through the referral service.
___
Email or floppy resume submitted.
___
I have submitted my resume on paper. ($15 additional charge)
___
I wish to be a non-consulting member.I
will receive all membership benefits except listing as a consultant and
access to the referral service. (No resume required.)
By signing
below, I indicate that I would like to make the above information and resume,
if applicable,freely available to
anyone.
_____________________________________________________
SignatureDate
IMPORTANT NOTICE:Neither
the IEEE or its Boston Section, the Consultants' Network, its officers,
or its members will be liable for the consequences of using the information
on this form and/or accompanying electronic data, even where such use may
involve unauthorized distribution and/or errors.Resumes
may be edited to fit the style of our publications. Those needing major
changes will be returned to the consultant for revision.
Membership Dues for the
Year 2005
|
Signup
Date
|
IEEE
Members
|
NON
IEEE-Members
|
Resume
published in
|
|
RENEWALS
prior to Dec 31, 2004
|
$65
|
$85
|
Web/flyers/directory[**]
|
|
RENEWALS
after Dec 31, 2004
|
$75
|
$95
|
Web/flyers/directory[**]
|
|
New
for 2005 [*]
|
$75
|
$95
|
Web/flyers/directory[**]
|
[*= NEW members for 2005 who joind and pay in Oct/Nov/Dec 2004 will
be added to the website and flyers ASAP]
[** = DEADLINE FOR LISTING IN THE 2005 PRINTED DIRECTORY IS JANUARY
31st
Application, dues, and correctly-formatted resume must be received
by that date to guarantee inclusion]
Please
return this form and payment (make checks payable to IEEE Consultants’
Network) to:
IEEE
Consultants' Network, P.O. Box
373, Lexington,
MA 02420-0004