ONLINE MEMBERSHIP FORM

Please fill out this electronic form and print a copy before clicking "Submit" to send in with your payment. Then, click "Submit" to forward your information to our membership committee right away. Mail a check (payable to TICA) for the appropriate membership class amount, along with the printed copy of the form, to:

Turbine Inlet Cooling Association
427 Prairie Knoll Dr., Suite 102
Naperville, IL 60565

Note: For any member who joins TICA after June 30th, the dues rate for the balance of the calendar year is the annual rate reduced by 50%.

Applicant's Name & Title
Company Name
Address
Telephone Number
Fax Number
E-mail Address
Web Site Address
How did you hear about TICA / Who referred you?
Please list any special interests
Membership Classification (check one)	GT-Owner - Comm/Indust ($1,000) GT-Owner - Non-Profit Organizations ($500) GT OEM ($1,000) TIC OEM/Contractor ($2,000) GT EPC Contractor ($2,000) Component Supplier to OEM ($2,000) Consultant with 5 or less people ($250) Consultant with 6 or more people ($500) Student ($100) Individual from an Organization that Owns GT($100) Qualified Non-Profit Organization ($100) Qualified Association (Reciprocal Zero Net Cost) Qualified Government Organization (Free)
Committees of Interest	Bylaws Communications Events Information Development Legislation and Regulatory Development Membership Technical & Performance