Membership

Application Form

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Any questions regarding SES, please contact the SES Secretary at ahansen@hoeflernet.com 

  

Membership Application.  Please remit $15.00 (US) for the annual membership fee.  (I am sorry, but at this time we are unable to accept credit card payments.)

New Member  ______                Renewal   _______

Name: 

Title: 

Company: 

Address: 

City:                         

State:          Zip: 

Telephone: 

Fax: 

Email: 

Other: 

 

Please mail the form, along with the $15.00 application fee,  to Source Evaluation Society, P. O. Box 12124, Research Triangle Park, NC  27709-2124.

 
If existing members would like to use this form to report any changes in address or telephone/fax numbers, you may print out the form and fax it to 208-726-4307.