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Membership Application

Use the form below to apply for membership to New York Photonics. You will receive an email notification saying your application has been received and is in the approval process. Within 48 hours, you will receive an email notification of your membership approval. The email will also contain your username and password to gain access to the member services area on the site. In the unlikely event that your application is rejected for some reason, you will receive an email notification.

Member Information

 
* Required Fields
Company*
Company Address 1*
Company Address 2
City*
State*
Zip Code*
Phone*
Fax
Website
Upload Logo
Logo must be either jpg or png format. Recommended size 100 X 100 pixels
Company Overview

Main Contact

Salutation
First Name*
Last Name*
Title
Email*
Password*
Confirm Password*
 

Capabilities

Additional Capabilities - If you do not see your capability in the capability section please add them in the box below. Once they are approved you will be able to add them to you profile on the Member Profile Edit page

Please enter the two words shown below.
If you cannot read them, click the refresh button to generate new words.
 





























  

Thank you .
Your application has been submitted for approval.