SOCIETY OF RELIABILITY ENGINEERS
APPLICATION FOR MEMBERSHIP
(please print or type information)
I would like to apply for SRE membership.
| _______________________________________________________ |
| NAME (LAST, FIRST, MI)
|
| _______________________________________________________ |
| COMPANY/ORGANIZATION AFFILIATION
|
| _______________________________________________________ |
| COMPANY/ORGANIZATION ADDRESS
|
| ___________________ |
___________________ |
| DEPARTMENT |
MAILCODE |
| ___________________ |
___________________ |
___________________ |
| CITY |
STATE |
ZIP |
| _______________________________________________________ |
| HOME ADDRESS
|
| ___________________ |
___________________ |
___________________ |
| CITY |
STATE |
ZIP |
| ___________________ |
___________________ |
| DAYTIME PHONE NUMBER |
EMAIL ADDRESS |
| _______________________________________ |
___________________ |
| SIGNATURE |
DATE |
Please include a check for $25 U.S. funds made out to:
SOCIETY OF RELIABILITY ENGINEERS
Mail To:
SOCIETY OF RELIABILITY ENGINEERS
c/o David Auda
50 North Forest
Williamsville, NY 14221
SRE Home
Rochester Chapter SRE * March 2003
