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MEMBERSHIP/DUES FORM 2012 - 2013
Membership will be effective on your anniversary date emitted by ASHRAE society
Chapter Year: $60.00 Students: $10.00 Life Members: N.C.
- ROSTER INFORMATION -
Name:
Spouse:
Firm:
Business Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Society Membership Number:
Society Grade:
Presidential
Life
Fellow
Member
Associate
Affliliate
Student
Indicate First, Second and Third Choice for Committee Assignment:
First Choice:
- -
Attendance & Reception
Chapter Technical Committee
Sol*Air
Code & Advisory
Fax Committee
Technical Seminar
Golf Tournaments
Honors & Awards
Chapter Home Page
Membership Promotion
Programs
Student Activities
Public Relations
Refrigeration
Tech., Energy, & Govmnt. Affairs (TEGA)
Research Promotion
Scholarship & Workshare
Other
Second Choice:
- -
Attendance & Reception
Chapter Technical Committee
Sol*Air
Code & Advisory
Fax Committee
Technical Seminar
Golf Tournaments
Honors & Awards
Chapter Home Page
Membership Promotion
Programs
Student Activities
Public Relations
Refrigeration
Tech., Energy, & Govmnt. Affairs (TEGA)
Research Promotion
Scholarship & Workshare
Other
Third Choice:
- -
Attendance & Reception
Chapter Technical Committee
Sol*Air
Code & Advisory
Fax Committee
Technical Seminar
Golf Tournaments
Honors & Awards
Chapter Home Page
Membership Promotion
Programs
Student Activities
Public Relations
Refrigeration
Tech., Energy, & Govmnt. Affairs (TEGA)
Research Promotion
Scholarship & Workshare
Other
If
'Other'
Please specify:
MAILING INFORMATION:
Please Fill out completely
Name:
Firm:
Street Address:
City:
State:
Zip:
Total Enclosed $:
Make checks payable to:
Southern California Chapter, ASHRAE
P.O.Box 80133
San Marino, CA 91118