RadTech

Radtech International NA
6935 Wisconsin Ave, Ste 207
Chevy Chase, MD 20815 USA
Ph : 240-497-1242
Fx : 240-209-2340
Email : uveb@radtech.org

RADTECH MEMBERSHIP APPLICATION

Please complete the following application and hit the SUBMIT button at the end of the form.

NOTE: If paying by check, please do not use this form (as credit card information is required to submit). Please click here to download a printable form that can be mailed with your check.

Member Information
Full Name		Title
Company		Email
Address		Telephone
		Fax
City		State
Zip		Country

MEMBERSHIP CATEGORY

Corporate Supplier
Total annual revenue from sales of UV and/or EB equipment, chemicals, services, etc. as described below.

Major - annual RadTech support of $7,450. Annual revenue is excess of $10 million. Includes four (4) individual memberships.
Expanding - annual RadTech support of $3,950. Annual revenue is between $5 million and $10 million. Includes three (3) individual memberships.
Growing - annual RadTech support of $1,950. Annual revenue is between 1 million and $5 million. Includes two (2) individual memberships.
Developing - annual RadTech support of $950. Annual revenue is less than $1 million. Includes one (1) individual membership for your company.

Individual - annual RadTech support of $75. Company must already be a member in one of the proceeding categories.

End User
Company converts formulated products to final form by the use of UV or EB technology and does not produce or supply UV or EB curing equipment, chemicals, services, etc.

Corporate - annual RadTech support of $1,000 Includes eight (8) memberships from your company.
Individual - annual RadTech support of $200 Individual membership for an employee of a company that uses UV/EB technology. Company does not need to be a member.

Affiliate
Individual member of academia, government agencies or public utilities involved in UV and/or EB technologies.

Individual - annual RadTech support of $85

ADDITIONAL MEMBERS INFORMATION
If you are applying as a corporate member, attach a list of individuals who should be included in the membership,

Click on the [+/-] to expand.

Member 1

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Member 2

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Member 3

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Member 4

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Member 5

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Member 6

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Member 7

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Member 8

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ADDITIONAL INFORMATION

My company is a supplier of:

Raw materials
Formulated products
Process application curing equipment
Support products and miscellaneous equipment

My company is a user of

UV Technology (specify product produced)

EB Technology (specify product produced)

My primary job function is
Corporate Management Manufacturing / Production Research & Development Marketing / Sales Quality Control/Assurance Health & Safety	Technical Services Engineering Consulting / Education Government Other
Market Segments In Which You Have Involvement - (Check All That Apply)
Converting - silicone Release liners, papers, films Converting - coatings Flexible packaging, solar film Converting - flooring Vinyl sheets and tiles, wood flooring Converting - narrow Labels, tags, flexible packaging, silicone release Web/Sheetfed offset Aseptic packaging, cosmetic boxes, business forms, direct mail, commercial printing, plastic sheet printing. Wide Web/Flexographic printing Flexible packaging, snack foods, candy wrappers. Automotive Interior & exterior plastic parts, electronics, metal, glass. Plastic - functional coating, non-automotive & Cd’s Construction materials, office furniture, industrial lighting, snowmobiles, watercraft, Cd’s, CD-ROM”s, DVD, reflectors. Plastic container/decoration 3D spray Cosmetic bottles, yogurt cups, toothpaste tubes. Metal pipe/Metal flat sheet decorative coatings Fence posts, conduit, steel & alloy tubes, aerosol cans, food cans, battery cases. Metal 2 piece cans, can ends Beer and beverage containers	Metal 3D spray Golf clubs, plumbing fixtures, automotive, appliances. Wood coating-profiles/flat sheet/3D Molding, picture frames, particle board, MDF sheets, doors, KD, case goods, chairs, general furniture. Fiber, ribbon & cable Optical fiber, coloring, multi-fiber ribbon, wire, wire marking. Non-auto glass coating & decorating Bottles, tumblers, mirrors. Medical devices Kits & trays, syringes, blood filters, body fluid bags, catheters, etc. Electronics Component marking, encapsulation, conformal coating of PCB, Photo resists. Consumer products-decoration & functional Eyeglass lenses, pen bodies, tools, golf balls, trophies, skis. Flat sheet screen printing and decorating Advertising posters, signs, vehicle advertising, display advertising. Coil Coating Steel Appliances, architectural products. Adhesives Laminating, pottings & PSA’s Other (specify) None of the above

PAYMENT INFORMATION

Credit Card No.

cvv2 code

Expiration Date

/ (month/year format: XX / XXXX)

Billing Address

same as above

Full Name

City

Address

State

Zip

Country

Membership is renewed in Septemeber. Membership dues are not refundable.

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