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Mid-South Chapter SFPE
Jerry Vuoso, President
Alan Otts, Secretary
P.O.Box 148
Cordova, TN 38088
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Fields with * are required |
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| * Date of Application: |
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| * Full Name: |
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| * Title: |
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| * Employer: |
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| * Business Mailing Address: |
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| * Phone No: |
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Fax No: |
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| * Email: |
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| Home Mailing Address: |
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| Phone No: |
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Fax No: |
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| * Preferred Mailing Address: |
Business Home |
| * Are you a member of the National Society of Fire Protection Engineers? |
Yes No |
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If Yes, Select Grade:
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Note:If you do not hold one of the grades of membership in the Society of Fire Protection Engineers listed above, Society by-laws prohibits you from referring to membership in the Society or a local chapter in any printed or published materials.
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| * Are You a Registered Professional Engineer: |
Yes No |
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If yes, State of Registration & Discipline: |
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If you are a member of National SFPE, your local Annual Membership Dues are $20.00.
If you are not a member of National SFPE, your 'Friend of the Chapter' correspondence fee is $20.00.
If you are a Government employee, your annual fee is $1.00.
In either event, please make your check payable to: Mid-South Chapter SFPE |
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Please mail this application and a check for the annual Membership Dues/Mailing Fee to
the Chapter Secretary at the address show above. |
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