Application for Individual Participation in the IPC Designers Council

This application is only for new participants. Update your enrollment in the IPC Designers Council.

IPC Designers Council participation is not the same as IPC site membership, nor does it offer the same benefits, but is a separate professional society for individuals with its own distinct advantages. There is no fee for enrollment in the IPC Designers Council.

If you are not in the U.S. or Canada, please contact your local chapter to join the Designers Council, or e-mail design@ipc.org for more details.

Fields with an * are required.

Individual Participant Information
Prefix: *  
First Name: *  
Middle Name:
Last Name: *  
Suffix:
Email: *
Business Information
Job Title:
Company: *  
Address 1: *  
Address 2:
City: *  
State/Province: *  
Zip/Postal Code: *  
Country: *  
Phone: *  
Fax:
Mailing Address (if different than above)
Address:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Local Chapter Selection
Select the local Designers Council chapter you wish to join. If there is no chapter in your area, select "At-Large Designer Chapter."
Chapter: *  
    
Industry

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