Professional Order Form

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