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SOCIETY OF PLASTIC ENGINEERS
European Thermoforming Division
Eric Sasselaan 51, BE-2020 Antwerpen, BELGIEN
Tel.: +32 3 541 77 55
Fax: +32 3 541 84 25 |
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| Membership Application 2008 |
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L'iscrizione è realizzata tramite connessione sicura per cifratura SSL.
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Please detach this form and send it
with payment details
or print it and send it to:
SPE European Member Bureau
Eric Sasselaan 51
BE-2020 Antwerp, Belgium
Fax: +32 3 541 8425 |
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Name (last)* |
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Company
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| What is your primary job function? |
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| What is your specific activity level? |
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Division Choice - My primary Division is:
Check others below as secondary Divisions
Cost for each additional division: €5.00 each
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| New Member (1year) |
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129,- € (121,-€ + 8,- € initiation fee) |
| New Member (2years) |
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236,- € (229,-€ + 7,- € initiation fee) |
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| New Member (1year) |
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121,- € SPECIAL FEE |
| New Member (2years) |
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229,- € SPECIAL FEE |
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| STUDENT Member
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30,- € (no initiation fee) |
REINSTATED Member
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121,- € (no initiation fee) |
| Dues include a 1-year subscription to PLASTICS ENGINEERING MAGAZINE and online access to the SPE Membership Directory |
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PAYMENT |
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Payment must accompany application |
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I enclose a cheque made payable to:
Society of Plastic Engineers
(cheques must be in Euro). |
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Bank details:
Fortis Bank, Tervurenlaan 124,
BE-1150 Brussels, Belgium,
in favour of SPE
BIC code: GEBABEBB
IBAN code: BE20 2100 9060 8156
account number 210-0906081-56
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money transfer to
account 210-0906081-56
in favor of SPE
with the Fortis Bank,Brussels, Belgium
BIC code: GEBABEBB
IBAN code: BE20 2100 9060 8156
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Please charge the following credit card
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Expiring date
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If the name and address of the cardholder is different from above
please indicate the cardholders name and address below. |
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Please detach this form and send it
with payment details
or print it and send it to:
SPE European Member Bureau
Eric Sasselaan 51
BE-2020 Antwerp, Belgium
Fax: +32 3 541 8425 |