Membership Application

	Application Type		The ProSquad Only NISC-T Acceptance as a NISC-T Member automatically enrolls you in the ProSquad locator. Membership in NISC-T is NOT required to be a member of The ProSquad locator. Membership in NISC-T requires a majority vote of the entire current membership. A current member will personally contact you. Membership in The ProSquad locator will be judged by the membership committee.
	Membership Type		CompanyIndependent Technician
	Company Information
	Company Name
	Your Name		First Last
	Mailing Address
	City, State Zip		,   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Lousiana Maryland Maine Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hamshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
	Business Telephone
	Cellphone / After Hours Number
	Business Email
	Business Website
	Years in Business or Technician
	YesNo		Are you authorized for any Warranty as an ASC?
	YesNo		Do you do work for TPA/ESP companies?
	Affiliations (Check all that apply)		Custom Electronic Design and Installation Association Eastern Professional Electronics Association Electronic Technicians Guild (Mass) Florida Electronic Servicers Association Georgia Electronic Servicers Association InfoCOMM International Society of Certified Electronics Technicians National Electronics Service Dealers Association National Systems Contractors Association NESDA of Ohio Oregon Professional Electronics Association Professional Service Association Professional Servicers of California Society of Motion Picture and Television Engineers Southeast Service Dealers Association T-E-A (Texas) Texas Electronics Association LLC United Servicers Association Virginia Professional Electronics Association
	Sponsorship		I have been sponsored or asked to join by . NOTE: If you have been sponsored, you do NOT need to send proof of insurance or a business license.
Required	YesNo		I have read and agree to abide by the Ethics and Conduct Statement. You MUST agree to join.
Required	YesNo		I have (or am in the process of getting) Business Liability Insurance *
Required	YesNo		I have (or am in the process of getting) either a business license or Sales Tax Exemption Certificate *
			* You must have these items before you can go live on the ProSquad Locator. Without getting too elaborate, you need to send copies of your license or tax exemption certificate and a simple copy of your insurance card attached to an email to membership@theprosquad.net If you do not have them in PDF form, email us at membership@theprosquad.net and one of the membership committee will reply with a fax number.