Retiree Membership

NC-PC Retiree Membership

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RETIREE - NC-PC Membership

Price: $25.00

Any NC-PC member who was a NC-PC member for a minimum of five (5) years is eligible for limited membership in the NC-PC upon retirement. If your application does not meet this criteria, it will be rejected and a refund will be issued.

- APPLICANT INFO -

Name:

First

Middle

Last

Previous Job Title:

Previous Job Duties:

Years as NC-PC Member:

Years in Pretreatment:

Street Address or PO Box:

City:

State:

Zip Code:

Phone:

Email Address:

Confirm Email

- PAYMENT INFO -

TOTAL AMOUNT DUE:

$0.00

Credit Card Information

Card

Name on Card

Email Address for Payment Receipt:

Confirm Email

I agree that all information above is accurate and give permission for NC-PC to process payment via Stripe for the "Total Amount Due".

AGREE

You should receive email copies of your application and payment receipt. Check your spam/junk folder if they do not appear in your inbox. You can also receive copies by emailing [email protected].

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