Membership Information Request Form

Yes! Please send membership information for manufacturers' representatives. I'm very interested in joining ERA.

Company _____________________________________




City, State, Zip__________________________________

Phone__________________ Fax___________________



Please print this form, fill it out and fax to 1-800-372-3227

Electronics Representatives Association

Attn: Karin Derkacz, Membership Manager


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Chapter Contact:
Tess Hill
Pacific Northwest Chapter
Electronics Represetnatives Associationa International
300 W. Adams St., Suite 617
Chicago, IL 60606
(630) 545-9101 • Fax (630) 545-9103