ICML Individual Associate Membership Application Form

ICML invites you to support its endeavors to promote excellence in the

machinery lubrication industry by becoming a member today.

An associate member is an individual who wants to help support ICML's worldwide initiatives through a
USD $160 or $195 annual package. ICML certification is not necessary to hold this membership.

The International Council for Machinery Lubrication continuously seeks individual members who wish to help
support our mission while enjoying special benefits of their own. Benefits of Associate Membership include
exam discounts, eLibrary subscription, recognition on ICML's website, opportunities for team articles & panels,
and use of our "Associate Member" logo. See more at https://info.lubecouncil.org/membership/.
Discounted three-year membership option conveniently aligns with your ICML certification.
Your individual involvement with ICML can help involve you in the broader machinery lubrication community!

To apply for Associate Membership in ICML, please complete this form and email it to karinat@lubecouncil.org

APPLICANT DETAILS:
Contact Person: _________________________________________________________________________________________
(PSOR\HU:______________________________________________ Industry Category: Select One
Job Title:_____________________________________________________________________________________________
Address: _________________________________________________________________________________________
City: ______________________ State/Prov: ______________Zip/Postal Code: ________________
Country: _______________ Work Phone: _______________________ Mobile: ___________________
Email: ____________________________________ Alternate Email: _____________________________________
May we include your contact information & email in a Membership Roster that only members can access?
YES NO

PAYMENT INFORMATION:

Certified Individual Non-certified Individual

❏ One Year $160 ❏7KUHH<HDUV43 ❏ One Year $195
Current ICML certification number (required): ________________
------------------------ $10 Processing Fee will be added to all first-time memberships. ------------------------

❏ Check -- Payable to International Council for Machinery Lubrication (USA/Canada only)
❏ Credit Card -- Please use this link http://www.icmlonline.com/cc
❏ Wire Transfer -- Bank details will be provided in the invoice
Membership effective date: ___/___/____
✔Auto-Renewal (optional) Your Associate
❏
Membership will conveniently renew without the need to
submit a new application form. Prior to your annual or triennial
expiration date, we will simply send you an invoice at the email
address(es) supplied on this form; payment itself will not be
automatic. You may cancel auto-renewal at any time via email
to karinat@lubecouncil.org. Or you may un-check the box now
if you do not wish to take advantage of our auto-renewal option.

February 2024