SAMPE Journal - November/December 2011 - (Page 67)

Individual Membership Application society for the advancement of material and process engineering application instrUctions (Usa; canada; mexico; all others) 1) Fill out form completely. 2) Submit with payment (US funds drawn on US bank). DO NOT SEND CASH. 3) Call SAMPE Membership at +1 626.331.0616 x 632 with questions about this application. 4) Return completed application and payment to SAMPE®, 1161 Park View Drive, Suite 200, Covina, CA 91724-3759 or Fax to SAMPE® +1 626.332.8929. (Your membership is an individual membership and is not transferable). application instrUctions (european) 1) Fill out form completely. 2) Submit with payment (Euro). DO NOT SEND CASH. 3) Submit completed application and payment to Adrie Kwakernaak, Treasurer, SAMPE Europe, Uranusstaat 3, Aalsmeer, NL-1431, Netherlands, 31-297-32 19 99, Fax 31-297-32 32 21. (Your membership is an individual membership and is not transferable). application instrUctions (Japan) 1) Fill out form completely. 2) Submit application with your payment (DO NOT SEND CASH) to: Yoshinori Matsuoka, Treasurer, SAMPE Japan, 2-11-23 Zaimokuza, Kamakura, 248-0013 Japan. (Your membership is an individual membership and is not transferable). application instrUctions (affiliates) 1) Fill out form completely. 2) Submit application to your representative for processing. (Your membership is an individual membership and is not transferable). Last Name________________________________________________First Name___________________________________________________________Middle Initial_______________ Job Title_____________________________________________Work Phone_______________________________________Mobile Phone________________________________________ Company Name_________________________________________________Address_________________________________________________________________________________ City___________________________________________________State___________________________Zip__________________________Country______________________________ E-Mail Address__________________________________________________________________________________________________________________________________________ Home Address___________________________________________________________Home Phone_____________________________________________________________________ City___________________________________________________State_________________________Zip____________________________Country______________________________ Preferred Mailing Address  Home  Work membership categories–check the type For Which yoU QUaliFy:  proFessional - An engineer or scientist (bachelor level degree) with 2 years experience on a professional level, or a person who has 5 or more years technical experience on a professional level, or a person who is a registered engineer or scientist under state law.  associate - A person engaged in technical efforts.  stUdent - A registered student working toward a degree in a materials and processes related field, including all engineering and science disciplines. (You will be listed as “Student” on all SAMPE related materials, no company affiliations will be accepted.) Your name and contact information will appear in print in the Annual SAMPE Membership Directory, published in the fall. proF/assoc members only Age Group:  18-24  25-34  35-44  45-54  55-64  65+ Highest educational degree  None  Associate  Bachelor  Master  Doctorate Year Conferred_____________________________________________ With which Chapter do you desire affiliation?_________________________________Other Professional Association Memberships_________________________________ stUdent members only Age Group:  18-24  25-34  35-44  45-54  55-64  65+ Degree being sought  Associate  Bachelor  Master  Doctorate School affiliation_____________________________________________________Anticipated year of graduation________________________________________________ With which chapter do you desire affiliation?___________________________________Other Professional Association Memberships________________________________ hoW did yoU hear aboUt sampe?  I am a former SAMPE Member.  At a conference. Which one?_____________________________________  Received SAMPE literature in the mail.  In a publication. Which one?______________________________________________________________________________ Recommended by_____________________________________________________________Chapter________________________________________________________ dUes schedUle: check only one. Professional/Associate Member USA Member Renewal. . . . . . . .$102 USA New Member . . . . . . . .$122 Canada &Mexico.. . . . . . . . . . . . .$99 Europe. . . . . . . . . . . . . . . . . .80 Japan. . . . . . . . . . . . . . . . . . . . . $100 Affiliates (Shanghai & India). . . .$113 All Others . . . . . . . . . . . . . . $113 Student Members USA . . . . . . . . . . . . . . . . . . . . . . . $20 Europe. . . . . . . . . . . . . . . . . . . . .20 Affiliates (Shanghai & India). . . $113 Canada and Mexico. . . . . . . .$26 Japan. . . . . . . . . . . . . . . . . . . . . $40 All Others . . . . . . . . . . . . . . . $50 additional pUrchases: SAMPE Lapel Pin___________________. . . . . . . . . . . . . . . . . . . . . . . . @ $12 each Shirts-Embroidered Logo______________ . . . . . . . . . . . . . . . . . . . . . . . @ $25 each Indicate Size  Medium  Large  X-Large Color  Blue  Black  Grey method oF payment:  Check/Money Order  VISA  MasterCard  American Express  Discover Card Number____________________________________________________Exp. Date_________________Total Amount Due $____________________________________ Cardholder_____________________________________________________Signature______________________________________________________________________ Address______________________________________________________________________________________*When paying by credit card, billing address must match address of card holder please sign: The undersigned certifies that all statements made herein are accurate and agrees to be governed by the Bylaws of the Society and the Bylaws of the Chapter. Date____________________________________Signature____________________________________________________________________________________________ SAMPE is a non-profit organization. Register online at www.sampe.org SAMPE Journal, Volume 47, No. 6, November/December 2011 Revised 04/11 67 http://www.sampe.org http://www.sampe.org

Table of Contents for the Digital Edition of SAMPE Journal - November/December 2011

SMPE Journal - November/December 2011
Table of Contents
President’s Message
Technical Director’s Corner
Life Cycle Structural Health Monitoring of Airframe Structures: Strain Mapping Using FBG Sensors
Europe News & Views
SAMPE Europe’s SEICO 2012, Paris
12th Japan International SAMPE Symposium and Exhibition – JISSE-12
SAMPE Books & CD’s Order Form
SAMPE Proceedings
SAMPE Tech 2012 Call for Papers
Pitch-Catch (Low Frequency) Bondtesters
The SAMPE Foundation
Corporate Partners
Materials & Products
SAMPE LinkedIn Communities
SAMPE Journal Editorial Calender
Welcome SAMPE’s Newest Members
SAMPE 2012
SAMPE 2012 Exhibition
Industry News
SAMPE Asia 2012|Kuala Lumpur, Malaysia
Cost-Effective, Phase-Based Thermography Method for Ultrasonic Investigation of Defects in CFRP Structures
Tech Tidbits
Upcoming SAMPE Events
Chapter Meetings Dates and Contacts
Advertiser’s Index
Resource Center
Membership Application
Industry Events Calendar
Statement to Record Ownership

SAMPE Journal - November/December 2011

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