NECDA Membership Application

1. Membership open only to dealers under contract with NEC Unified Solutions or NEC Canada.
2. Fill out this form and mail with check drawn on a US bank for annual dues (see #3 below) to: NECDA, 244 Eastgate Drive, Danville, IL 61834-9358 OR to use your credit card and get mileage or cash back, fax this form to 217-442-0974  (Best option for Canadian members!)  This gets you on line quickly.  Note: NEC has allowed the dues expense to be approved under coop funds for the past several years. We will fax back your credit card receipt so you can turn in the expense to NEC.
3. Annual invoices are mailed out about Dec. 1. New members may pay dues on Dec. 1 and get listed right away in the on-line directory that typically gets 400-500 hits per month looking for an NEC dealer by ZIP/Postal Code. The information below goes in our web database to promote your company to the public and to other NECDA members.  We also use this information for our printed directory that is distributed to all NEC dealers and passed out at the annual NEC Users Group convention.  Also, new members (not belonging in the previous year) may join mid year by paying a pro-rated amount based on the number of months remaining in the year, typically $25 per month with one or two office locations.
4. Dues are $300US (1-2 locations); $500US (3-5 locations); $800US (6-7 locations); $1000 US (8+ locations). Canadian members should pay by credit card or check the daily exchange rate and remit the correct amount.

NEC DEALERS ASSOCIATION

DEALER INFORMATION FORM

COMPANY______________________________________________________________

ADDRESS_______________________________________________________________

CITY________________________    ST/Prov________   ZIP/Postal Code_____________

MAIN TELEPHONE #__________________________

FAX #_______________________

800#________________________

FEDERAL EMPLOYER/TAXPAYER I.D. #__________________

NEC Account #_________________ (U.S. dealers only )

YOUR WEB SITE=www.____________________________

Main Contact:

Name:______________________________

Telephone:___________________Ext._____

Fax:________________________________

Email:_______________________________

Inventory Contact:

Name:___________________________ Ext._______

Email:______________________________________

YEAR COMPANY STARTED__________  NEC SINCE _________   # OF TECHS:________

Be sure to read the NECDA Multi-Location Agreement. It covers pricing for NECDA members to do installations for each other.  A copy of the agreement is on the web site in the "Members Only" area.

NEC SYSTEMS HANDLED: _____   Elite IPK II; ___2000 IPS; ____2400IPX;____Univerge:____

Other products handled: (Cabling, paging, other telecom etc.)

____________________________________________________________________________

____________________________________________________________________________

We specialize in: (Vertical markets, call centers, networking etc.)

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

BRANCH OFFICES: (for Printed Directory and Online Directory on Internet)

(Locations where you have a physical address, phone #, staff employed)

Include: Street Address, City, St/Prov. Zip/Postal Code and Phone #. Incomplete info can't be listed. Attach a separate sheet if necessary or email a spreadsheet to This e-mail address is being protected from spambots. You need JavaScript enabled to view it

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

*******************************************************************************************************

Credit Card Info (If paying by credit card or call 800-843-8322 with info)

Type of Card (Visa/MC/AE/Discover)_____________  Card #_________ ________ _________ __________

Expiration Date ___/____  Name on Card________________________________

Signature________________________  Amount Paid $___________________