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Industry Partner Application

PLEASE NOTE:  Annual dues and a one-time application fee of $75 are required to initiate membership.

Auto-pay can be set up at the time of enrollment for processing renewals on an annual basis.

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Thank you for your interest in becoming an Industry Partner with IECRM. Once this application is submitted you will receive a confirmation email with a link to pay for your membership.
Business Address*
Name of Primary Contact*
Would you like to receive emails about IECRM events and news?
Please designate a primary contact to receive communications from IECRM:
Name*

Please list the names of additional company contacts:

Sales Contact

Name

HR/Benefits

Name

Business Dev/Mktg

Name

Company Details

Is your company on social media?

Please select the Industry Partner level.

Your annual membership commitment is for 1 year. After your initial payment of your first full year of dues and your one-time application fee of $75, you will have the option of being billed annually through auto-pay with a credit card. Please contact the IECRM Finance Department at [email protected] for Auto-Pay set up.
A. National IEC Annual Dues (Required)*
B. Rocky Mountain Chapter Industry Partner Levels and Dues (Choose One)
Application Fee*
Questions or concerns? Contact IECRM at (303) 853-4886.
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