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Application Form

 

Becoming a member of ASSE or renewing your current membership could not be easier! 

Please take a moment and fill in the fields below and we will get back to you as soon as possible with your confirmation.
If you would like to send in your application via regular mail, please contact us and we will send you the necessary information. The Annual Membership fee is 50 US Dollars. Please make the check payable to American Society of Swedish Engineers, 780 Third Avenue, King of Prussia, PA 19406.  Thanks in advance for your support!

What kind of application would you like to send?

New Member Renewal of Membership

Contact Details:

                        Mr.     Ms.    Dr. 

First Name*
Surname*
Date of Birth* 
(dd/mm/yyyy)
Citizen of:

Mailing Details:

                        Home Address     Business Address 

Company Name
Street*
Street*
City*
State/ Province*
Zip/ Area Code*
Country
Telephone (incl. area code)
Fax (incl. area code)
Email Address

                                                            * mandatory information

How would you prefer to be contacted?

Email    Fax    Regular Mail

 

Educational History:

University/College
Location
Major
Degree
Date Degree Received

(dd/mm/yyyy)

Professional History:

Name of Company
Position
Total Time at Position
 
Please don't publish my details on your web site.

 

 

© 2002 American Society of Swedish Engineers
780 Third Avenue, King of Prussia, PA 19406, USA
Phone: +1 (610) 265-4352, Fax: +1 (610) 265-4608   Email: information@asse-usa.org
Web Administrator:  Liza Henckel