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Below is a cache of http://isee.org/Application32007.pdf. It's a snapshot of the page taken as our search engine crawled the Web.
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. ISEE MEMBER APPLICATION ISEE MEMBER APPLICATION Directory Address (Official address to be used in the Annual Membership Directory) (Please Print) First Name___________________________MI_______Last Name_______________________________Job Title_____________ Company/Organization________________________________________________E-mail_______________________________ Bus. Phone__________________________Bus. Fax_______________________________Cell Phone_______________________ Street____________________________________City______________________________State/Province__________________ Postal Code/Zip____________________Country_____________________ Please add my e-mail to the technical listserve. Mailing Address (I want all mail to be sent to a different address than above) Street_________________________________City______________________________State/Province_____________________ Postal Code/Zip_____________________Country_________________________Home Phone____________________________ List Blasters License Held____________________________List Membership in ISEE Chapter(s)__________________________ Enclosed is a copy of my blasters license Enclosed is a copy of my student I.D. (Student Members) Does the applicant have actual hands-on blasting experience?_________________ I hereby apply for: Member $80 U.S. Associate Member $80 U.S. Corporate Member $395 U.S. Full-time Student $20 U.S. I offer the attached information in support of my application for membership. If accepted for membership, I agree to comply with the con-
stitution and code of ethics of the ISEE. My dues payment is enclosed. Signature of Applicant_______________________________Date of Birth_____________ * International payments should be made via international money order or bank draft drawn on a U.S. bank. For Federal income tax purpos-
es, your membership dues may be deductible as a business expense but not as a charitable contribution. Endorsement Information All applicants except full-time students over 18 years of age, must be at least 21 years old and be endorsed by a Chapter offi-
cial, ISEE member, or appropriate government official who knows the applicant personally. If you cannot locate a sponser,
call the ISEE office for more information. Membership in another engineering society that has equally high standards of mem-
bership may be used in place of the endorsement. Name of Endorser__________________________Company_____________________________Member #__________________ How long have you known the applicant?____________Has the applicant been employed under your supervision?_________ I hereby endorse the above applicant for membership in the ISEE Signature of Endorser_______________________ Business Classifications (circle the one that best describes your company) Method of Payment VISA MASTERCARD AMEX Card#___________________________________________________ Signature_______________________________________________________Expiration Date____________________________ My check is enclosed. Members: Individuals whose work involves the direct application of scientific principles and techniques in the use, handling, manufacture, transportation
and storage of explosives. Associate Members: Those who are interested in explosives engineering, but are not qualified to be a Member. Student Members: Full-time students enrolled in science or engineering. Copy of student ID is required. Corporate Members: Corporations whose purpose and activities relate to the explosives industry. Life Members: Call ISEE for more information. Intl Society of Explosives Engineers 30325 Bainbridge Road Cleveland,
Ohio 44139 (440) 349-4400 Fax: (440) 349-3788 www.isee.org Agriculture/Forestry/Logging/ Avalanche Control Amusement/Recreation/Entertain/ Pyrotechnics/Special Effects Blasting/Drilling Contractor
Construction Bridge & Tunnel
Construction Demolition
Constr Excavation & Foundations
Construction General
Construction Highway
Construction Underwater Blasting
Construction Utility/Pipeline
Consultant Blasting
Consultant Mining
Education-Training (Blasting, Safety, etc.) Education-Training (University/College) Environmental Specialist
Explosives Disposal
Govt General/Regulator
Govt Military
Govt Law Enforcement/ Fire Protection/Bomb Tech Insurance & Risk Management
Mining Coal
Mining Metal
Mining Nonmetal Minerals
Mining Nonmetal Stone & Sand
Mfg/Sales Air & Gas Compressors
Mfg/Sales Blasting Accessories & Supply Mfg/Sales Drilling Equipment & Accessories Mfg/Sales Explosives Products
Mfg/Sales Instr & Related Products
Mfg/Sales Machinery & Equip.
Mfg/Sales Magazines/Trucks
Mfg/Sales Ordnance & Accessories
Mfg/Sales Pumps and Pumping Equipment Mfg/Sales Software - Blast Design/ Vibration/Inventory Oil Extraction/Exploration
Retired
Service Advertising/Publishing
Service Employment Service Engineering & Mgmt
Service Facilities Design &
Planning
Service Legal
Service Research/Testing
Service Safety Engineering
Service Shipping & Hauling
Student
Transportation Industry
Vibration/Seismology Services 03/07
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. ISEE MEMBER APPLICATION ISEE MEMBER APPLICATION Directory Address (Official address to be used in the Annual Membership Directory) (Please Print) First Name___________________________MI_______Last Name_______________________________Job Title_____________ Company/Organization________________________________________________E-mail_______________________________ Bus. Phone__________________________Bus. Fax_______________________________Cell Phone_______________________ Street____________________________________City______________________________State/Province__________________ Postal Code/Zip____________________Country_____________________ Please add my e-mail to the technical listserve. Mailing Address (I want all mail to be sent to a different address than above) Street_________________________________City______________________________State/Province_____________________ Postal Code/Zip_____________________Country_________________________Home Phone____________________________ List Blasters License Held____________________________List Membership in ISEE Chapter(s)__________________________ Enclosed is a copy of my blasters license Enclosed is a copy of my student I.D. (Student Members) Does the applicant have actual hands-on blasting experience?_________________ I hereby apply for: Member $80 U.S. Associate Member $80 U.S. Corporate Member $395 U.S. Full-time Student $20 U.S. I offer the attached information in support of my application for membership. If accepted for membership, I agree to comply with the con-
stitution and code of ethics of the ISEE. My dues payment is enclosed. Signature of Applicant_______________________________Date of Birth_____________ * International payments should be made via international money order or bank draft drawn on a U.S. bank. For Federal income tax purpos-
es, your membership dues may be deductible as a business expense but not as a charitable contribution. Endorsement Information All applicants except full-time students over 18 years of age, must be at least 21 years old and be endorsed by a Chapter offi-
cial, ISEE member, or appropriate government official who knows the applicant personally. If you cannot locate a sponser,
call the ISEE office for more information. Membership in another engineering society that has equally high standards of mem-
bership may be used in place of the endorsement. Name of Endorser__________________________Company_____________________________Member #__________________ How long have you known the applicant?____________Has the applicant been employed under your supervision?_________ I hereby endorse the above applicant for membership in the ISEE Signature of Endorser_______________________ Business Classifications (circle the one that best describes your company) Method of Payment VISA MASTERCARD AMEX Card#___________________________________________________ Signature_______________________________________________________Expiration Date____________________________ My check is enclosed. Members: Individuals whose work involves the direct application of scientific principles and techniques in the use, handling, manufacture, transportation
and storage of explosives. Associate Members: Those who are interested in explosives engineering, but are not qualified to be a Member. Student Members: Full-time students enrolled in science or engineering. Copy of student ID is required. Corporate Members: Corporations whose purpose and activities relate to the explosives industry. Life Members: Call ISEE for more information. Intl Society of Explosives Engineers 30325 Bainbridge Road Cleveland,
Ohio 44139 (440) 349-4400 Fax: (440) 349-3788 www.isee.org Agriculture/Forestry/Logging/ Avalanche Control Amusement/Recreation/Entertain/ Pyrotechnics/Special Effects Blasting/Drilling Contractor
Construction Bridge & Tunnel
Construction Demolition
Constr Excavation & Foundations
Construction General
Construction Highway
Construction Underwater Blasting
Construction Utility/Pipeline
Consultant Blasting
Consultant Mining
Education-Training (Blasting, Safety, etc.) Education-Training (University/College) Environmental Specialist
Explosives Disposal
Govt General/Regulator
Govt Military
Govt Law Enforcement/ Fire Protection/Bomb Tech Insurance & Risk Management
Mining Coal
Mining Metal
Mining Nonmetal Minerals
Mining Nonmetal Stone & Sand
Mfg/Sales Air & Gas Compressors
Mfg/Sales Blasting Accessories & Supply Mfg/Sales Drilling Equipment & Accessories Mfg/Sales Explosives Products
Mfg/Sales Instr & Related Products
Mfg/Sales Machinery & Equip.
Mfg/Sales Magazines/Trucks
Mfg/Sales Ordnance & Accessories
Mfg/Sales Pumps and Pumping Equipment Mfg/Sales Software - Blast Design/ Vibration/Inventory Oil Extraction/Exploration
Retired
Service Advertising/Publishing
Service Employment Service Engineering & Mgmt
Service Facilities Design &
Planning
Service Legal
Service Research/Testing
Service Safety Engineering
Service Shipping & Hauling
Student
Transportation Industry
Vibration/Seismology Services 03/07
