SERCOS Trade Organization – Membership Application and Details

	Introduction
	Benefits of Membership
	History
	SERCOS Associations
	SERCOS International
		Structure
		Board of Directors
		Working Groups
		Cost Structure
		Application Form

	SERCOS N.A.
		Structure
		Board of Directors
		Working Groups
		Cost Structure
		Application Form

	SERCOS Japan
		Contact

	SERCOS China
		Contact
	Member Directory

There are two easy ways to join SERCOS N.A. Either complete the online membership application form below and submit with your purchase order number for payment or print the PDF version of the application form and mail to SERCOS N.A. with your company check. *Sorry, we do not accept credit cards at this time.

Questions? Contact Ronald Larsen, Managing Director of SERCOS N.A.

Company Information	Member Representative Information
Company:	Name:
Address:	Title:
Address:	Phone:
City:	Fax:
State/Province:	Email:
Postal Code:	Add to newsletter e-mail list?
Country:		Yes No
Company URL:

Company Description

Manufacturer of Drives and/or Controls User of Drives and/or Controls

Systems Integrator Software Supplier Industrial Dist/Mfg's Rep

Association/Education Institution Other:

Current SERCOS: User Supplier

Please describe your SERCOS-related interest, applications, products, services, activities:

New Membership Classification
	Full Voting Executive Member @ $20,000/Yr USD
	Non-Voting Associate Member @ $5,000/Yr USD
	OEM/Systems Integrator Member @ $500/Yr USD
	Educational/End User Member @ $500/Yr USD

Payment Information

Purchase Order #:
Please Bill: Quarterly Yearly