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ARIZONA COUNCIL OF ENGINEERING AND SCIENTIFIC ASSOCIATIONS

2009 FISCAL YEAR

If you are interested in becoming a member or are renewing your membership to ACESA, please fill out the following form.  
Individuals may join with no dues required, however, they must be approved by the board of directors and there are certain participation requirements to maintain membership.


SOCIETY DUES INVOICE AND ROSTER UPDATE

Organization Name ______________________________________________

Representative #1

Name ____________________________________________________
Title______________________________________________________
Address __________________________________________________
__________________________________________________
Phone (Business) __________________ (Home) _________________
FAX ____________________ email ____________________________

Representative #2

Name ____________________________________________________
Title______________________________________________________
Address __________________________________________________
__________________________________________________
Phone (Business) __________________ (Home) _________________
FAX ____________________ email ____________________________

Dues Statement

Fiscal Year 2009
Societies ....................……………$25.00

_________________________________________________________

Dues amount remitted……………………………………. $____________

Please make checks payable to Arizona Council of Engineering and Scientific Associations

Bring to ACESA meeting or mail to:
ACESA
c/o Ray Quackenbush
270 E. Chelsea Ln.
Gilbert, AZ 85295-5986

 

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Copyright © 2009
  Arizona Council of Engineering and Scientific Associations
Last modified: July 11, 2009
Contact Information
Telephone
623-435-1522
Postal address
270 East Chelsea Lane. Gilbert, Arizona 85296-5986
Electronic mail
General Information: FB200524@hotmail. com