Enterprise Membership Professional Engineers of North Carolina

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P3 Enterprise Partner Interest Form

Please complete the interest form below. Once your form has been submitted, please allow 3-5 business days for PENC to contact you to negotiate a contract that best suits your needs. If you have any questions about the program, please contact Jaclyn Young, the Director of Membership at jyoung@penc.org or 919-834-1144 ext. 2.

Downloadable Interest Form >> (PDF File)

Company Name:

Company Address:

City:

State:

Zip Code:

Company website:

Primary Contact:

Title:

Address (if different from one listed above):

Phone Number:

( ) -

Email address:

Please indicate the level of Enterprise Partnership you would like to pursue::

Please upload a list of names and location (city, zip) of the members being joined. This information will allow us to create an itemized, cumulative dues invoice and personalized membership application.:

Upload:

On behalf of the above-noted enterprise, I confirm our commitment to fulfilling an enterprise membership program with PENC.

I agree.:

If the page just seems to refresh when you hit the Submit button, please make sure you have filled in all necessary information. If problems persist, please contact Jaclyn Young.

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