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Sercos N.A.
Structure
Board of Directors
Working Groups
Cost Structure
Application Form
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Member Directory


There are two easy ways to join Sercos N.A. Either complete the online membership application form below and submit with your purchase order number for payment or print the PDF version of the application form and mail to Sercos N.A. with your company check. *Sorry, we do not accept credit cards at this time.

Questions? Contact Ronald Larsen, Managing Director of Sercos N.A.

Company Information

Member Representative Information

Company: Name:
Address: Title:
Address: Phone:
City: Fax:
State/Province: Email:
Postal Code: Add to newsletter e-mail list?
Country: Yes     No
Company URL:

Company Description

Manufacturer of Drives and/or Controls         User of Drives and/or Controls
Systems Integrator         Software Supplier         Industrial Dist/Mfg's Rep
Association/Education Institution         Other:

Current Sercos: User     Supplier

Please describe your Sercos-related interest, applications, products, services, activities:


New Membership Classification

Full Voting Executive Member @ $20,000/Yr USD
Non-Voting Associate Member @ $5,000/Yr USD
OEM/Systems Integrator Member @ $500/Yr USD
Educational/End User Member @ $500/Yr USD

Payment Information

Purchase Order #:
Please Bill: Quarterly    Yearly