Professional Membership Gi Order Form Enrich the life of someone you care about with an ASME gi membership! THE AMERICAN SOCIETY OF MECHANICAL ENGINEERS Instructions: Please complete all three sections of this form and return with payment to ASME using the postal address or fax number listed on the bottom of this form. ASME will not accept payment by email. go.asme.org/giftmembership 1 Whether you’re an ASME member yourself or a friend or family member GIFT GIVER (PLEASE COMPLETE ALL APPLICABLE FIELDS) who would like to give a truly meaningful First /Given Name____________________________ Last /Given Name__________________________________ MI______ Date________________ gift to someone very special, your ASME Member # (if applicable)_____________________________________ Relationship to Recipient (optional)___________________________________ purchase of an ASME gift membership Company______________________________________________ Primary Mailing Address will make a huge difference in their Home Business Address ________________________________________________________________________________________ City______________________________________ State/Province_______________ Zip/Postal Code______________ Country__________________ Telephone (w/area code) Mobile Home Business_____________________________ Email Address____________________________________________________________________________________ 2 As soon as your order has been processed, we will send your gift membership recipient an email acknowledging your generosity! Last /Given Name_____________________________________ MI____________ M Gender F enjoy access to exceptional benefits including valuable technical information, essential career resouces, and the unique opportunity to build relationships GIFT RECIPIENT (ATTACH A SEPARATE SHEET FOR EACH GIFT RECIPIENT) First /Given Name_____________________________________ engineering career! ASME members that can last a lifetime. Degree held (if known) 1. No Degree 2. B.A. 3. B.E. 4. B.S. 5. M.A. 6. M.S. 7. M.E. 8. Ph.D. 9. Sc.D. 10. Other (Describe) ____________ Date Graduated (if known) _____(MM)/_____(YY) Years of Engineering Experience (if known) _________ Giving an ASME gift membership is easy! Simply follow the three steps on the Birthdate (if known)__________________________(MM/DD/YYYY) Please indicate how many years it has been since your gift recipient graduated from College/University: Company____________________________________________ City_______________________________________________ Regular Member, 4+ years after graduation . . . . . . . . . . . . . . . . $116.25 USD 0- 1 year after graduation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 46.50 USD 1- 2 years after graduation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 63.75 USD 2- 3 years after graduation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 81.00 USD 3- 4 years after graduation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 98.25 USD State/Province_______________ Zip/Postal Code____________ Tel. (w/area code) Mobile Home Business Country_____________ _________________________________ Special Gift Membership Offer Your ASME gift membership recipient will also receive a free ASME backpack! all-purpose ASME backpack! Email Address________________________________________ Save 25% Plus A Free GIFT! A $15 value But that’s not all… Primary Mailing Address Home Business Address ____________________________________________ 3 PAYMENT INFORMATION (PLEASE INDICATE AMOUNT AND METHOD. PAYMENT MUST ACCOMPANY FORM) order form and email, postal mail or fax it to ASME. Your gift recipient will receive an email notifying them of your generosity - and in addition to their membership, they will also receive a free You will receive a special 25% discount on your ASME Gift Membership purchase! Gift Dues Payment Amount Gift Dues Payment Method Please enter amount indicated in section 2 above. Check (payable to ASME) AmEx Visa Mastercard Discover Euro Card Money Order Purchase as many as you wish by simply completing a separate order form for each. ASME Gift Membership Dues $ _________________ Credit Card Number __________________________________________________ (See the order form for details on rates and discounts.) * Sales Tax $ _________________ Total $ _________________ Residents of South Dakota and Canada are required to calculate and add sales tax to their payment when paying by Check or Money Order.* Sales tax will be applied automatically when paying by Credit Card if applicable. Market Code: GIFTMEMPRO18 6/2017 Payment must accompany application. Return to ASME by Mail or Fax. Do not email payment. Exp. Date (MM/YY) __________________________________________________ Your ASME gift membership recipient will also receive a free ASME backpack! A $15 value go.asme.org/giftmembership Cardholder Name_____________________________________________________ Cardholder Signature_________________________________________________ Please return the completed form with payment to ASME via email, postal mail or fax. ASME 150 Clove Road, 6th Floor, Little Falls, NJ 07424-2100, USA Telephone: 1-800-THE-ASME / 1-800-843-2763 (U.S./Canada) 1-646-616-3100 (Global) Email: [email protected] • Fax: +1-973-882-1717 Gift Membership Webpage: http://go.asme.org/giftmembership Please contact an ASME Customer Care Representative via phone or email if you would like assistance with your gift membership purchase. ASME Contact Information 150 Clove Road, 6th Floor, Little Falls, NJ 07424-2100, USA Telephone: 1-800-THE-ASME / 1-800-843-2763 (U.S./Canada) 1-646-616-3100 (Global) Email: [email protected] • Fax: +1-973-882-1717 Gift Membership Webpage: http://go.asme.org/giftmembership Professional Membership Gi Order Form Enrich the life of someone you care about with an ASME gi membership! THE AMERICAN SOCIETY OF MECHANICAL ENGINEERS Instructions: Please complete all three sections of this form and return with payment to ASME using the postal address or fax number listed on the bottom of this form. ASME will not accept payment by email. go.asme.org/giftmembership 1 Whether you’re an ASME member yourself or a friend or family member GIFT GIVER (PLEASE COMPLETE ALL APPLICABLE FIELDS) who would like to give a truly meaningful First /Given Name____________________________ Last /Given Name__________________________________ MI______ Date________________ gift to someone very special, your ASME Member # (if applicable)_____________________________________ Relationship to Recipient (optional)___________________________________ purchase of an ASME gift membership Company______________________________________________ Primary Mailing Address will make a huge difference in their Home Business Address ________________________________________________________________________________________ City______________________________________ State/Province_______________ Zip/Postal Code______________ Country__________________ Telephone (w/area code) Mobile Home Business_____________________________ Email Address____________________________________________________________________________________ 2 As soon as your order has been processed, we will send your gift membership recipient an email acknowledging your generosity! Last /Given Name_____________________________________ MI____________ M Gender F enjoy access to exceptional benefits including valuable technical information, essential career resouces, and the unique opportunity to build relationships GIFT RECIPIENT (ATTACH A SEPARATE SHEET FOR EACH GIFT RECIPIENT) First /Given Name_____________________________________ engineering career! ASME members that can last a lifetime. Degree held (if known) 1. No Degree 2. B.A. 3. B.E. 4. B.S. 5. M.A. 6. M.S. 7. M.E. 8. Ph.D. 9. Sc.D. 10. Other (Describe) ____________ Date Graduated (if known) _____(MM)/_____(YY) Years of Engineering Experience (if known) _________ Giving an ASME gift membership is easy! Simply follow the three steps on the Birthdate (if known)__________________________(MM/DD/YYYY) Please indicate how many years it has been since your gift recipient graduated from College/University: Company____________________________________________ City_______________________________________________ Regular Member, 4+ years after graduation . . . . . . . . . . . . . . . . $116.25 USD 0- 1 year after graduation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 46.50 USD 1- 2 years after graduation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 63.75 USD 2- 3 years after graduation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 81.00 USD 3- 4 years after graduation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 98.25 USD State/Province_______________ Zip/Postal Code____________ Tel. (w/area code) Mobile Home Business Country_____________ _________________________________ Special Gift Membership Offer Your ASME gift membership recipient will also receive a free ASME backpack! all-purpose ASME backpack! Email Address________________________________________ Save 25% Plus A Free GIFT! A $15 value But that’s not all… Primary Mailing Address Home Business Address ____________________________________________ 3 PAYMENT INFORMATION (PLEASE INDICATE AMOUNT AND METHOD. PAYMENT MUST ACCOMPANY FORM) order form and email, postal mail or fax it to ASME. Your gift recipient will receive an email notifying them of your generosity - and in addition to their membership, they will also receive a free You will receive a special 25% discount on your ASME Gift Membership purchase! Gift Dues Payment Amount Gift Dues Payment Method Please enter amount indicated in section 2 above. Check (payable to ASME) AmEx Visa Mastercard Discover Euro Card Money Order Purchase as many as you wish by simply completing a separate order form for each. ASME Gift Membership Dues $ _________________ Credit Card Number __________________________________________________ (See the order form for details on rates and discounts.) * Sales Tax $ _________________ Total $ _________________ Residents of South Dakota and Canada are required to calculate and add sales tax to their payment when paying by Check or Money Order.* Sales tax will be applied automatically when paying by Credit Card if applicable. Market Code: GIFTMEMPRO18 6/2017 Payment must accompany application. Return to ASME by Mail or Fax. Do not email payment. Exp. Date (MM/YY) __________________________________________________ Your ASME gift membership recipient will also receive a free ASME backpack! A $15 value go.asme.org/giftmembership Cardholder Name_____________________________________________________ Cardholder Signature_________________________________________________ Please return the completed form with payment to ASME via email, postal mail or fax. ASME 150 Clove Road, 6th Floor, Little Falls, NJ 07424-2100, USA Telephone: 1-800-THE-ASME / 1-800-843-2763 (U.S./Canada) 1-646-616-3100 (Global) Email: [email protected] • Fax: +1-973-882-1717 Gift Membership Webpage: http://go.asme.org/giftmembership Please contact an ASME Customer Care Representative via phone or email if you would like assistance with your gift membership purchase. ASME Contact Information 150 Clove Road, 6th Floor, Little Falls, NJ 07424-2100, USA Telephone: 1-800-THE-ASME / 1-800-843-2763 (U.S./Canada) 1-646-616-3100 (Global) Email: [email protected] • Fax: +1-973-882-1717 Gift Membership Webpage: http://go.asme.org/giftmembership
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