Print out this form and mail it to:
Society of Manufacturing Engineers
Attn: Records Department
One SME Drive
P.O. Box 930
Dearborn, MI, U.S.A., 48121-0930
or FAX it to: (313) 271-2861
If you apply by fax, you must also pay by credit card. If you are unable to print a copy of the application and instructions, call the SME Customer Service Department at (800) 733-4763, ext. 629 and they'll fax an application to you.
SME HQ Phone: (313) 271-1500 or (800) 733-4763 in the U.S. and Canada
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My preferred mailing address is my: ____ Home address, ____ Business address
Personal Information
(Please print)
Prefix ( Mr., MS., Mrs., Dr., etc.) (Circle one)
First Name:________________________________________________________________
Middle Initial:____________
Last Name:_________________________________________________________________
Suffix ( CMFG., CMFGT., PE., etc)(Circle one)
Date of Birth:_____________________________________________________________
Home Address:______________________________________________________________
___________________________________________________________________________
City:______________________________________________________________________
State/Province:___________________________
Zip/Postal Code:__________________________
Country:__________________________________
E-mail Address:___________________________
Home Phone:_______________________________
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Business Information
Name of Organization:______________________________________________________
Division:__________________________________________________________________
Job Title: (If you do not have a title please use one of the following: Student, Retired, Self Employed or Unemployed.)
____________________________________________________________
Business Address:__________________________________________________________
____________________________________________________________________________
City:______________________________________
State/Province:____________________________
Zip/Postal Code:___________________________
Country:___________________________________
Business Phone:____________________________
Fax:_______________________________________
Describe the end product or service produced at this address:
____________________________________________________________________________
____________________________________________________________________________
Number of people employed at this address:
Student Information (Fill in section only if you are a current student.)
Name of School:__________________________________________________________
School Address:__________________________________________________________
City:______________________________________
State/Province:____________________________
Zip/Postal Code:___________________________
Country:___________________________________
Graduation Date:___________________________
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Professional Experience/Education:
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Areas of Interest:
Write the two codes from the "Areas of Interest Codes" page that match the areas of interest most related to your job. ________, _________
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Chapter Affiliation / Sponsor Information (optional):
Sponsor Name: Jenny Ono Suttaby
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Technical Associations: (General Instructions)
______ AFP/SME Association for Finishing Processes of SME ______ EM/SME Association for Electronics Manufacturing Association of SME ______ MVA/SME Machine Vision Association of SME ______ RI/SME Robotics International of SME ______ CASA/SME Computer and Automated Systems Association of SME ______ FTA/SME Forming Technologies Association of SME ______ MTA/SME Machining Technology Association of SME ______ RPA/SME Rapid Prototyping Association of SME ______ PMMA/SME Plastics Molders and Manufacturers Association of SME ______ CMA/SME Composites Manufacturing Association of SME
Note: For information regarding membership in the North American Manufacturing Research Institute of SME (NAMRI/SME), contact the SME Professional Interests Department at (313) 271-1500, ext. 532.
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Total Payment Enclosed ($US) For ONE Year $_______ For TWO Years $_________
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______ My Company is an affiliate member of SME.
Enter the Affiliate number here: ______________
(Dues are $30 for the first year.)
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Submit By Mail or Fax (print form, and mail or fax with enclosed payment)
Exp. Date:_______________________________________
Signature:_______________________________________
Print out this form and mail it to:
Society of Manufacturing Engineers
- - - or Fax application to: (313) 271-2861
If you apply by fax, you must also pay by credit card.
If you are unable to print a copy of the application and instructions, call the SME Customer Service Department at (800) 733-4763, ext. 629 and they'll fax an application to you.
SME HQ Phone: (313) 271-1500 or (800) 733-4763 in the U.S. and Canada
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Check below if you would like to receive SME's monthly magazine MANUFACTURING ENGINEERING.
I would like to receive MANUFACTURING ENGINEERING magazine. ___Yes ___No
____Please check here if you wish to have your name withheld from organizations other than SME.
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