Application for Site Membership

Thank you for your decision to join IPC. Membership is site specific, which means that IPC member benefits are available to all individuals employed at the site designated on this application.


To best serve your specific needs, please indicate the most appropriate member category for your facility. (Check one box only.)
   Printed Circuit Board Manufacturer
Facility manufactures and sells printed circuit boards (PCBs) or other electronic interconnection products to other companies. What products do you make for sale? (check all that apply)
   One and two-sided rigid, multilayer printed boards
   Flexible printed boards
   Other interconnections

   Electronics Manufacturing Services (EMS) Company
Facility manufactures printed circuit assemblies, on a contract basis, and may offer other electronic interconnection products for sale.

   OEM — Original Equipment Manufacturer
Facility purchases, uses and/or manufactures printed circuit boards or other interconnection products for use in a final product, which we manufacture and sell.

   Industry Supplier Manufacturer
Facility supplies raw materials, equipment or services used in the manufacture or assembly of electronic products.
   PCB
   EMS
   BOTH

   Government, Academia, Nonprofit
Organization is a government agency, university, college or technical or nonprofit institution which is directly concerned with design, research and utilization of electronic interconnection devices.
   Consulting Firm
Facility purchases, uses and/or manufactures printed circuit boards or other interconnection products for use in a final product, which we manufacture and sell.

Payment Information (Purchase orders not accepted as a form of payment)
Membership Dues
Fees quoted are in Indian Rupees and are exclusive of current applicable service tax.
Please check one:

Corporate Membership Company/Organisations with annual turnover of more than Rs.5 Crore s annual turnover

Companies/Organisations with annual turnover of more than Rs.50 Lakhs to Rs. 5 Crores

* Proof of annual turnover mandatory- Either Registration under SSI / Any Relevant certificate from a Govt. agency / Self Declaration duly signed by the declaring Authority(with clear mention of Name) affixed by company seal
Mail Application with Cheque or DD drawn in favour of IPC Technology Consulting Private Limited, payable in Bangalore
IPC Technology Consulting Pvt Ltd
Old No. 269, (New No.35), 2nd Floor,
5th Main, 4th Block, Jayanagar,
Bangalore, 560011

Phone : +91 80 26532211
Fax :+91 80 26532212

Contact ipcindia@ipc.org for wire transfer details.
GST No: 29AACCI2479N1ZY
PAN No: AACCI2479N

IPC Global Headquarters
3000 Lakeside Drive #309 S
Bannockburn, IL 60015 USA
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