MCA Membership Form

Applying for Membership

If you are interested in becoming a member of the Midwest Cogeneration Association, you may submit the following information to us, and we will provide you with further information and materials.

Please provide us with full contact information, so that we will be able to reach you in case we have any questions.

Member Information

Name      
Title     
Company   
Address   
Telephone 
FAX       
E-mail    


Membership Information

Type of Membership
New
Renewal

MCA Dues Enclosed
Individual: 
1 year - $75     
3 years - $200 

*Corporate: 
1 year - $500
*Corporate membership includes one designated voting MCA member and the option of multiple company employees attending monthly meetings at the member rate. Please indicate the designated MCA voting member above.


I wish to become an active member of the MCA and would like to serve on one of the following committees:
Education & Scholarship Committee
Environmental Committee
Legal Committee
MCA Conference Committee		 Membership Committee
Operators Committee
Program Committee
Publications Committee

Please indicate your type of business (choose up to 3)
Consulting Services
Contractor
Energy Supplier/Utility
Engine/Generator Equipment
Financial Services
Generator Controls and Switchgear Equipment
Heat Recovery/Emissions Equipment
Independent Power Producer
Insurance Services		 Legal Services
Maintenance Services
Support Equipment
System Developer
System Owner/Operator
Test Equipment
Turbine/Generator Equipment
Turnkey/Design Build Services
Other

Please print this application and send it along with your check, made payable to the
Midwest Cogeneration Association, Inc., (F.E.I. #36-3392189), to:

Midwest Cogeneration Association, Inc.
Attn: Membership Chairman
P.O. Box 283
Western Springs, IL 60558-0283

Signature____________________________________________ Date_________________

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