APPLICATION FOR MEMBERSHIP
Join the Management Division

If you aren’t already a member, please consider joining our group of over 650 members of mid and high level management.
 
Name   
Company   
Address  
Additional address  
City, State, Zip (or Postal Code)  
Country   
E-Mail     
Telephone # (with Area/country code)      
Fax #  (with Area/country code)   
AIChE member #     

Dues are $10.00.  Print this coupon, fill it out and mail, with check to

Management Division, AIChE
3 Park Avenue
New York, NY 10016-5991

We welcome your participation!  For further questions contact divisions@aiche.org or call AIChE @ 1-800-AICHEME (1-800-242-4363)