Document qmwYmydKEaN0y31q5b2Y4vjXq
FILE NAME: National Safety Council (NSC)
DATE: 1990 Feb 20
DOC#: NSC103
DOCUMENT DESCRIPTION: Potomac Electric Power Company NSC Membership Renewal
National Safety Council
444 North Michigan Avenue Chicago, Illinois 60611 Telephone: 1-312-527-4600 EMPLOYER NEMBERSHIP RENEWAL NOTICE
? MEMBER NUMBER IS: 033030-00) - 3
FEBRJARf 20# 199 0
YOUR MEMBERSHIP EX P IR E S :
5/90
RENEWAL N O T I C E # 21 85490N
SECTION A F F I L I A T I O N : EEE
AFFILIATION DATE:
4/36
PRINT CHANGES IN MEN3ER INFORMATION:
MEMBERSHIP RENEWAL FOR:
COMPANY NAME _________________________
MEMBER C O N T A C T _______________________ CONTACT T I T L E ________________________ A D D R E S S ________________ _______________
POTOMAC ELECTRIC POWER CO STEVE WEISZ
1900 PENNSYLVANIA AVE NW
WASHINGTON
# DC 2 002 0
CITY# STATE# Z I P _____________________
TELEPHONE <____ ) ______________________
(202) 872-2353
TO RENEW:
1
LAST YEAR YOUR DUES WERE BASED ON 5#495 EMPLOYEES- I F YOUR
NUMBER OF FULL TIME EMPLOYEES HAS NOT CHANGED# YOUR ANNUAL DUES ARE
$1#030-03-
I F THERE HAS BEEN A CHANGE IN YOUR EMPLOYEE COUNT# PLEASE F I L L IN :
NUMBER OF FULL TIME EMPLOYEES ________________________________
ANNUAL DUES (CONSULT RENEWAL GUIDE) 5 _________________________
2.
CHECK THE MEMBERSHIP LOCATIONS ON THE ATTACHED L I S T - MAKE CHANGES RIGHT
ON THE L I S T .
3.
INDICATE PAYMENT METHOD:
(
) PAYMENT ENCLOSED- ORDERS FROM OUTSIDE THE UNITED STATES AND
CANAOA REQUIRE PATMENT IN U - S - FUNDS WITH RENEWAL INSTRUCTIONS.
(
) SEND INVOICE
4.
SIGN# DATE AND RETURN ALL PAGES OF THIS NOTICE TO US BEFORE 5/15/90-
AUTHORIZED SIGNATURE
PRINT YOUR NAME
T -E
DATE
.MOULD YOU HAVE ANY QUESTIONS# PLEASE CONTACT OUR CUSTOMER S ERVICE DEPARTMENT: (800) 6 2 1 -7 6 1 9 (OUTSIDE IL L IN O IS ) OR (312) 5 2 7 - 4 8 0 0 .
901-ORF (11-82)