Marine Technology, October 2013

<BODY> <div> DATE/DEGREE RECEIVEDCOLLEGE OR UNIVERSITY LOCATION MAJOR�$�3�3�/�,�&�$�7�,�2�1��)�2�5�� ? NEW MEMBER�? CHANGE IN GRADE�? REINSTATEMENT PRESENT/FORMER MEMBER NO. �3�(�5�6�2�1�$�/��,�1�)�2�5�0�$�7�,�2�1� RANK/TITLE _____________ LAST NAME ________________________ FIRST NAME ___________________________INITIAL _____ ADDRESS _________________________________________________ HOME TEL. AREA CODE/NUMBER ______________________ CITY _______________________ STATE/PROVINCE/COUNTRY ____________________________ POSTAL/ZIPCODE ____________ EMAIL __________________________________ BIRTHDATE ____________________ CITIZEN OF ____________________________ �%�8�6�,�1�(�6�6��,�1�)�2�5�0�$�7�,�2�1� COMPANY ______________________________________________________ TITLE__________________________________________ COMPANY?S ACTIVITY____________________________________________________________________________________________ ADDRESS______________________________________________________ BUS TEL. AREA CODE/NUMBER____________________ CITY_____________________________ STATE/PROVINCE/COUNTRY_______________________ POSTAL/ZIP CODE____________ EMAIL_________________________________________________ FAX NO.________________________________________________ INDICATE MAILING PREFERENCE �? BUSINESS�? HOME�(�'�8�&�$�7�,�2�1��+�,�6�7�2�5�<�� 3�5�2�)�(�6�6�,�2�1�$�/��4�8�$�/�,�)�,�&�$�7�,�2�1�6� PROFESSIONAL LICENSES (State of Registry and Type)________________________________________________________________ MEMBER OF FOLLOWING SOCIETIES �? AIAA �? ASCE �? ASME �? ASNE �? IEEE�? IMarEST �? MTS �? RINA �? OTHER ____________________________________________ Des�Fri�Ee signi�¿�Fant�Fontri�E�Xtions in yo�Xr�¿e�Od s�X�F�K as i�Pportant pro�Me�Fts��Pa�Mor�Fontri�E�Xtions to periodi�Fa�Os� p�X�E�Oi�Fations��Konors� a�Zards��Pe�P�Eers�Kip in �Konorary so�Fieties and parti�Fipation on �Fo�P�Pittees� et�F. ____________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ �0�(�0�%�(�5�6�+�,�3��$�3�3�/�,�&�$�7�,�2�1�� 7�K�H��6�R�F�L�H�W�\��R�I��1�D�Y�D�O��$�U�F�K�L�W�H�F�W�V��D�Q�G��0�D�U�L�Q�H��(�Q�J�L�Q�H�H�U�V�� </div> <span id="lblContents"></span> <br /> <br /> <a href="http://www.digitalwavepublishing.com/" title="Digital Magazine">Digital Wave Publishing</a> </BODY>