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 2025 Membership (1 yr.) - $30.00

 2025-2027 Membership (3 yr.) - $75.00

Either Open and download fillable PDF form, complete, save and print it out, and mail it or a completed print of this form page
(with check made out to Delaware Valley Power Quality Group, Inc.) to:


DVPQG Registrations
225 N. 3rd. Street
Emmaus, PA 18049-2713
You may also register by E-mail by sending your registration info to registrations@dvpqg.org

 

NAME:

_____________________________________

  

COMPANY:

_____________________________________

  

ADDRESS:

_____________________________________

  

CITY:

_____________________________________

  

STATE:

_____________________________________

  

ZIP:

_____________________________________

  

PHONE:

( ____ ) ______________________________

  

CELL:

( ____ ) ______________________________

  

EMAIL:

_____________________________________

  

CATEGORY:

Academic
Contractor
Utility
Consultant
Manufacturer (Rep)
End User

  

New Member
Referral By:

_____________________________________

  

 

Delaware Valley Power Quality Group, Inc.
225 N. 3rd. Street
Emmaus, PA 18049-2713


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