NFORMATION
Company Name
Address
Zip Code
P.O. Box
Zip Code
City
State
Country
Phone ( )
FAX ( )
E-mail
Home Page
Chief Operating Officer (preferred) or Principal Owner
2.
TYPE OF OWNERSHIP Proprietorship Partnership Privately Held Corporation Division of
Corporation.
3.
COMPANY HISTORY
Date Company Began Operating .............................................................................. Month
Year
Date Company Began Servicing Electrical Equipment ............................................. Month
Year
Date Company Was Acquired by Present Owner(s) ................................................. Month
Year
Name(s) of Owner(s), Partners or Parent Corporation
4.
COMPANYS OFFICIAL EASA REPRESENTATIVE

(Person to be listed in EASAs membership directory.)
First Name
Initial
Last Name
Nickname
Spouse
Home Address
Phone ( )
City
State
Zip Code
E-mail
OFFICE USE ONLY
Recd
Fees Pd.
Region
Chapter
To Chptr.
Rtrnd.
To Drtr.
Rtrnd.
To Cmte.
Rtrnd.
Apprvd./Disapprvd.
ELECTRICAL APPARATUS SERVICE ASSOCIATION, INC.
International Active
Membership Application Place an X next to each activity that your company
is adequately equipped to handle.
Use a XX to indicate a maximum of five (5) of your
companys most important service or repair activi-
ties.
1. AC ELECTRIC MOTOR REWINDING
AND REBUILDING
_____
a. Single-phase motors
_____
b. Polyphase motors less than
50 hp (37 kW)
_____
c. Polyphase motors up to
200 hp (150 kW)
_____
d. Polyphase motors 200 hp (150 kW)
and over
_____
e. Polyphase motors with formed coils
_____
f. Polyphase motors over 600 volts
_____
g. Wound rotors
_____
h. AC generator rewinding less than
50 kW
_____
i. AC generator rewinding 50 kW and
over
_____
j. Brush shifting motors
_____
k. U.L. or CSA approved for rebuilding
of electric motors and generators in
hazardous locations. (Will not be listed
if you do not indicate file #.)
U.L. File # ___________________
CSA File # __________________
_____
l. Hazardous Area Equipment Rebuilding
Authorizing Agency __________
___________________________
___________________________
Member # ___________________
_____
m. ISO 9000 Series registration. (Will not
be listed if you do not indicate
certificate #.)
ISO 9000 Series Certificate
# __________________________
Place an X in the boxes below that best describe
your companys capacities. (Metric equivalents are
approximate.)
10. AREA DEVOTED TO SERVICE WORK a. Less than 2,000 sq. ft
(186 sq. m) b. 2,000 - 4,999 sq. ft
(187 - 464 sq. m) c. 5,000 - 9,999 sq. ft
(465 - 929 sq. m) d. 10,000 - 14,999 sq. ft
(930 - 1,393 sq. m) e. 15,000 - 49,999 sq. ft
(1,394 - 4,645 sq. m) f. 50,000 sq. ft (4,646 sq. m) and over
11. AREA REGULARLY SERVICED
(Radius From Plant) a. Less than 50 miles (80 km) b. 50 - 99 miles (80 - 160 km) c. 100 - 199 miles (161 - 320 km) d. 200 miles (321 km) or over
b) FACILITIES CODE
a) ACTIVITIES CODE
2. DC MOTOR OR GENERATOR REWINDING
OR REBUILDING
_____
a. DC motors or generators less than 10 kW
_____
b. DC motors or generators 10 kW and over
_____
c. Rotating fields less than 10 kW
_____
d. Rotating fields 10 kW and over
_____
e. Armature rewinding
_____
f. DC welders - rotating
_____
g. DC welders - static
3. SPECIALTY MACHINE REWINDING
OR REBUILDING
_____
a. Servo
_____
b. Traction
_____
c. Hermetic
_____
d. Hoist
_____
e. Cryogenic
_____
f. DC lifting magnets
4. TRANSFORMER SERVICING
_____
a. Air-cooled rebuilding
_____
b. Air-cooled rewinding
_____
c. Oil-filled rebuilding
_____
d. Oil-filled rewinding
_____
e. Welder transformer rewinding
_____
f. Auto transformer rewinding
5. MECHANICAL SERVICING
_____
a. Dynamic balancing
_____
b. General machine shop
_____
c. Hermetic compressors
_____
d. Metal spraying
_____
e. Pump repairing
_____
f. Rotor rebarring
_____
g. Air compressors
_____
h. Combustion engines
12. LARGEST CRANE OR HOIST CAPACITY a. Less than 2 tons (1,815 kg) b. 2 - 4.9 tons (1,816 - 4,535 kg) c. 5 - 9.9 tons (4,536 - 9,071 kg) d. 10 tons (9,072 kg) or over
13. HEIGHT AND WIDTH OF LARGEST
SERVICE ENTRANCE a. Personnel only b. At least 8 x 8 ft (2.4 x 2.4 m) c. At least 8 x 12 ft (2.4 x 3.6 m) d. At least 12 x 14 ft (3.6 x 4.3 m)
14. LATHE EQUIPMENT a. Less than 16 in (40 cm) b. 16 - 23 in (41 - 60 cm) c. 24 - 35 in (61 - 90 cm) d. 36 - 47 in (91- 120 cm) e. 48 in (121 cm) or more
15. DYNAMIC BALANCING EQUIPMENT a. Portable b. Less than 500 lbs (227 kg) c. 500 - 1,999 lbs (228 - 906 kg) d. 2,000 - 4,999 lbs (907 - 2,267 kg) e. 5,000 lbs (2,268 kg) and over
16. DIPPING EQUIPMENT
Equipment Volume of: a. Less than 27 cu. ft
(0.765 cu. m) b. 27 cu. ft - 63.99 cu. ft
(0.765 - 1.812 cu. m) c. 64 cu. ft - 215.99 cu. ft
(1.813 - 6.117 cu. m) d. 216 cu. ft (6.118 cu. m) and larger
17. VACUUM-PRESSURE
IMPREGNATION EQUIPMENT (VPI)
Resin Type: a. Epoxy
or b. Polyester
VPI Processing Equipment Diameter: c. Less than 3 ft (0.914 m) d. 3 - 5.99 ft (0.914 - 1.826 m) e. 6 - 7.99 ft (1.827 - 2.435 m) f. 8 - 9.99 ft (2.436 - 3.045 m) g. 10 ft (3.046 m) and larger
6. ELECTRIC/ELECTRONIC CONTROL
SERVICING
_____
a. Electromechanical field servicing
_____
b. Electronic field servicing
_____
c. Printed circuit board repairing
_____
d. Switchgear 600 volts
_____
e. Switchgear over 600 volts
_____
f. Custom panel fabrication
_____
g. General electrical contracting
7. FIELD SERVICE
_____
a. Vibration analysis
_____
b. Alignment
_____
c. Laser alignment
_____
d. Portable balancing
_____
e. Thermography
8. LOAD TESTING (DYNAMOMETER RANGES)
_____
a. Under 125 hp (93 kW) @ 1800 rpm
_____
b. 125 to 250 hp (93 to 186 kW) @ 1800 rpm
_____
c. 251 to 500 hp (187 to 373 kW) @ 1800 rpm
_____
d. Over 500 hp (373 kW) @ 1800 rpm
9. ELECTRICAL APPARATUS SALES
_____
a. Single-phase electric motors
_____
b. Polyphase electric motors
_____
c. DC motors
_____
d. Transformers
_____
e. Gear motors, speed reducers
_____
f. Adjustable-speed drives
_____
g. Power transmission equipment
_____
h. Generators
_____
i. Hoists
_____
j. Electric motor controls
_____
k. Portable tools
_____
l. Pumps
5.
ACTIVITIES AND FACILITIES CODES FOR WORK PERFORMED IN YOUR PLANT
This information will appear in your Activities Code and Facilities Code listing in EASA's yearbook. 6.
EMPLOYEE COUNT

List (to the left) the number of employees at this location.
8.
PAYMENT DUE WITH APPLICATION
To determine your dues for the first year, multiply the amount in the EASA Dues (above) by the appropriate percentage from
the Dues Adjustment Schedule (below). Enclose a check to cover both your first year dues and your $125.00 entrance fee.
Your check must accompany your completed application.
CHAPTER MEMBERSHIP
Chapter membership is required for Active members. It is strongly recommended that you belong to your local chapter to derive
the maximum benefit for your company. You may, however, belong to any chapter in addition to or in place of your local chapter.
EASAs chapters foster increased cooperation and fellowship by affording members opportunities to meet and exchange ideas and
solutions to common problems. EASAs chapters also keep members informed of industry trends through conferences, exhibitions
and business meetings. A chapter map and other information is available at www.easa.com.
7.
EASA DUES
Number of Employees
1 - 5
6 - 10
11 - 25
26 - 50
51 or more
Annual Dues
(U.S. dollars)
$432.00
$453.00
$547.00
$828.00
$1182.00
DUES ADJUSTMENT SCHEDULE
Adjust your first years dues according to the date you
apply. The full $125 entrance fee is assessed for each
applicant regardless of the date of application.
Jan. 1 - June 30
=
100 %
July 1 - Dec. 31
=
50 %
Note:
Most EASA publications and services are currently
available in the English language only.
Entrance fee ......................... $ 125.00
EASA dues
(adjusted) .............
$ ______
Chapter dues ..................... $ ______
Total dues & fees ................ $ ______
International shipping/
handling

(if applicable)
*
......... $
89.00
Total enclosed
**
................. $ ______
(Payable in U.S. Funds)
* International Shipping/Handling
(Covers shipping and handling for EASA New Member Kit filled with EASA publications, motor rewind
data CD-ROM & other EASA materials to countries outside of the United States and Canada; weighs approximately 21 pounds. EASA does
not pay customs and duties.)
(over, please)
PAYMENT MUST ACCOMPANY APPLICATION If you are uncertain about chapter membership or chapter dues, disregard the Chapter Dues section at this time. A representative of the
appropriate local chapter will contact you shortly after your application is received by EASA Headquarters. Last 3 digits on back of MC and VISA cards; 4 digits on front of AMEX cards.
**
Make checks payable to Electrical Apparatus Service Association, Inc., covering both dues and entrance fee. Payment must be made in U.S.
funds.
U.S. applicants, please note that dues are
not
deductible as a CHARITABLE CONTRIBUTION. Dues are deductible as a BUSINESS EXPENSE;
after January 1, 1994, however, any small portion of your dues (usually less than one percent) that may be spent to lobby Congress on issues
affecting the membership will not be deductible. EASA will notify the membership of any amounts involved. Enclosed is my check for $
(U.S. Funds) Please charge $ to MasterCard VISA American Express
Card Number
Cardholder
Address
City
State
Zip
Country
Verification
Code Expiration Date
Month
Year IMPORTANT:
Application must be signed by the applicant. Applicants will be notified of approval by EASA International
Headquarters.
ELECTRICAL APPARATUS SERVICE ASSOCIATION, INC.
1331 Baur Blvd. St. Louis, MO 63132 U.S.A. 314-993-2220 FAX: 314-993-1269 www.easa.com info@easa.com
MEMBERSHIP QUALIFICATIONS
1.
A