ANNEX E

EXAMPLE, USNC TAG MEMBER APPLICATION

Name: ______________________________________________________________________________

Title: _______________________________________________________________________________

Organization: ________________________________________________________________________

Address: ____________________________________________________________________________

___________________________________________________________________________________

Telephone: __________________________________________________________________________

Email: ______________________________________________________________________________

USNC TAG(s): ________________________________________________________________________

Interest Category:

• Producer – Individuals who are involved in the production, manufacture, or distribution of the type of product or system under the scope of the USNC TAG. This includes individuals involved in the design, engineering support, manufacturing, testing, and/or marketing of the type of product or system; or who are employed by or represent a producer, manufacturer, or distribution of the type of product or system.

• User – Individuals who are involved in using the type of product or system that is the topic of the USNC TAG, but who are not involved with the production, manufacture or distribution of that type of product or system.

• Testing / Certification – Individuals who represent organizations that provide testing, assessment and/or certification of the type of product or system that is the topic of the USNC TAG.

• Regulatory / Inspection – Individuals who represent governmental entities having regulatory or inspection interest in or influence over the type of product or system that is the topic of the USNC TAG.

• Special Expert – Individuals who have expertise in an aspect of the type of product or system that are not covered by another interest group.

   

  Signed: _____________________________________________________________________________

  Date: _______________________________________

  Attach Curriculum Vitae for circulation with USNC TAG membership ballot.