SAMPE Journal - January/February 2013 - (Page 66)

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 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 66 Revised 04/11 SAMPE Journal, Volume 49, No. 1, January/February 2013 http://www.sampe.org http://www.sampe.org

Table of Contents for the Digital Edition of SAMPE Journal - January/February 2013

SAMPE Journal - January/February 2013
Contents
President's Message
Technical Director's Corner
Materials & Products
Welcome SAMPE’s Newest Members
SAMPE LinkedIn Communities
SAMPE 2013|Long Beach
SAMPE Proceedings
Perspectives
Europe News & Views
SAMPE Journal Editorial Calender
SAMPE Europe’s SEICO 2013, Paris, France
SAMPE Europe’s SETEC 13 Wuppertal, Germany
Corporate Partners
Industry News
The SAMPE Foundation
SAMPE Tech 2012-A Review
SAMPE Tech 2012-Photo Gallery
SAMPE Tech 2013|Wichita, KS Call for Papers
SAMPE China 2012-A Review
SAMPE China-Photo Gallery
Advertiser’s Index
Resource Center
SAMPE Membership Application
SAMPE Books & CD’s Order Form
Industry Events Calendar
Chapter Contacts

SAMPE Journal - January/February 2013