Société de Chemie Industrielle - American Section

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Four Simple Steps To Apply for Membership.

1. Select membership type

Application for Individual Membership ($60 Annual Dues)
Application for Corporate Membership ($300 Annual Dues)

2. Enter your information

Name:
Title:
Company:
Address:
Phone:
Fax:
E-mail:
Include my name and contact information in a members´ only directory. Yes No

3. If you are applying for a Corporate Membership, please list the four company representatives to be nominated in addition to yourself.

1.	Name:
	Address:	(if different from above)
	Phone:
	Fax:
	Email:	(required to receive meeting notices)
2.	Name:
	Address:	(if different from above)
	Phone:
	Fax:
	Email:	(required to receive meeting notices)
3.	Name:
	Address:	(if different from above)
	Phone:
	Fax:
	Email:	(required to receive meeting notices)
4.	Name:
	Address:	(if different from above)
	Phone:
	Fax:
	Email:	(required to receive meeting notices)

4. Submit your application and proceed to the Membership Page to submit payment, using the PayPal button.

Danielle Fraser, Administrator
American Section of the Société de Chimie Industrielle
1895 Post Road, Fairfield, CT 06824
Telephone: (212) 725-9539
Fax: (800) 894-3207

E-Mail societedechimie@yahoo.com