Pacific Northwest Section of ASNT - Home - …asntpnws.com/Individual_Renew_App.pdfCall ASNT...

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With Airmail Service Included Five-Year Three-Year Two-Year One-Year Lifetime Renewal see reverse side for details Student, One-Year see reverse side for details Military Rank E-5 or lower Retired see reverse side for details Call ASNT Membership Renewal Options Return with payment to The American Society for Nondestructive Testing, Inc., PO Box 28518, Columbus OH 43228-0518; Or renew: Online www.asnt.org, Fax 614.274.6899, Phone 614.274.6003 or 800.222.2768 US/Canada. Federal ID# 31-1231529. Please complete both sides of this form. Payment Information Total Amount Paid $ AmEx MasterCard Visa Discover Check 1 Funds Transfer Form of Payment Account Number Name on Card (Print please) Signature Credit Card Billing Address Exp. Date Address, City, State, Zip, Country CIN* * Credit Card Identification Number. For Visa/MasterCard/Discover: The three-digit value is printed on the signature panel on the back of cards immediately following the account number. For American Express: 4 digit, non-embossed number printed above your account number on the face of your card. 1 Checks must be drawn on United States bank and U.S. dollars Research in Nondestructive Evaluation (RNDE®) Individual Subscription RNDE® is ASNT’s bi-monthly research journal. Print Subscription — for current volume Electronic Subscription — for current volume Print and Electronic Subscription — a savings of Dues include subscription to Materials Evaluation and The NDT Technician. Unless airmail is specified, all materials will be sent sea/surface mail; allow 3-4 months for delivery. *Airmail service is restricted by availability or cost; airmail may not be available in your country. Attention residents of Iran and Nigeria Airmail is not available in your country. Your ASNT membership is nontransferable and nonrefundable. Rates quoted are good for six months after expiration date. All pricing subject to change. Preferred e-mail address : Work Home Alternate e-mail address for receipt Rev 7/19 Add a subscription to ASNT’s bi-monthly research journal, RNDE.

Transcript of Pacific Northwest Section of ASNT - Home - …asntpnws.com/Individual_Renew_App.pdfCall ASNT...

Page 1: Pacific Northwest Section of ASNT - Home - …asntpnws.com/Individual_Renew_App.pdfCall ASNT Membership Renewal Options Return with payment to The American Society for Nondestructive

With Airmail Service Included

Five-Year Three-Year Two-Year One-YearLifetime Renewal see reverse side for details

Student, One-Year see reverse side for details

Military Rank E-5 or lower

Retired see reverse side for details

Call ASNT

Membership Renewal Options

Return with payment to The American Society for Nondestructive Testing, Inc., PO Box 28518, Columbus OH 43228-0518; Or renew: Online www.asnt.org, Fax 614.274.6899, Phone 614.274.6003 or 800.222.2768 US/Canada. Federal ID# 31-1231529.

Please complete both sides of this form.

Payment Information Total Amount Paid $

AmEx MasterCard Visa Discover Check1 Funds TransferForm of Payment

Account Number

Name on Card (Print please)

Signature

Credit Card Billing Address

Exp. Date

Address, City, State, Zip, Country

CIN*

* Credit Card Identification Number. For Visa/MasterCard/Discover: The three-digit value is printed on the signature panel on the back of cards immediately following the account number. For American Express: 4 digit, non-embossed number printed above your account number on the face of your card.

1 Checks must be drawn on United States bank and U.S. dollars

Research in Nondestructive Evaluation (RNDE®) Individual Subscription

RNDE® is ASNT’s bi-monthly research journal. Print Subscription — for current volumeElectronic Subscription — for current volumePrint and Electronic Subscription — a savings of

Dues include subscription toMaterials Evaluation and TheNDT Technician.

Unless airmailis specified, all materials willbe sent sea/surface mail; allow3-4 months for delivery.

*Airmail service is restricted by availability or cost; airmailmay not be available in yourcountry.

Attention residents of Iran andNigeria Airmail is not availablein your country.

Your ASNT membership is nontransferable and nonrefundable. Rates quoted are good for six months after expiration date.

All pricing subject to change.

Preferred e-mail address : Work Home

Alternate e-mail address for receipt

Rev 7/19

Add a subscription toASNT’s bi-monthly research journal, RNDE.

Page 2: Pacific Northwest Section of ASNT - Home - …asntpnws.com/Individual_Renew_App.pdfCall ASNT Membership Renewal Options Return with payment to The American Society for Nondestructive

Infrared & Thermal Ultrasonics

Acoustic Emission Liquid PenetrantAlternating Current Magnetic Flux Leakage

Field Measurement Magnetic ParticleElectromagnetic/Eddy Current MicrowaveGround Penetrating Radar Neutron RadiographyGuided Wave

LeakLaser

Radiography

Vibration AnalysisVisual

Membership Profile

Name

Address

City State Zip Code

Country E-mail

Student MembershipASNT student membership requires veri�cation of enrollment and anti date of graduation. Only one of the following items is required for veri�cation.

cipated

• copy of current student id card with issue or expiration date• copy of current transcript • copy of current class schedule • letter from the college/university

Return with renewal form, fax to 614-274-6899 or e-mail to:[email protected].

Lifetime Renewal OptionTo qualify, your age and length of ASNT membership added together mustequal 65. This offer is available to all regular, individual members and is subjectto verification by ASNT’s Member Services. Contact ASNT for overseas airmail fee.

Retired MembershipRetired membership is available to Society members who have paid fullmembership dues for at least 15 years, are at least 60 years old, retired and are not receiving remuneration of any kind for NDT activity.

Research in Nondestructive EvaluationAn established source of archival data on original research in all areas of NDE. This journal is recognized for its coverage of experimental and theoretical investigation in the critical fields of material propertycharacterization, degradation in service, nonintrusive manufacturingtechniques for characterizing hidden flaws and distributed damage. Join those who have already subscribed to this important journal.

Do you know someone else who would benefit from being an ASNT member?

3. Education (Check highest level )

High SchoolSome College2-Year Associate Degree4-Year Bachelor DegreeMaster’s DegreeDoctorate DegreeIf enrolled, expected graduation date______________________

6. Your Job Function—Choose the one which best describes your role. (check only one)

NDT Management Sales/MarketingQuality Management ResearcherEngineer Academic/EducatorTechnician/Inspector Trainer/InstructorConsultant Student

9. Choose the one business industry segment that best describes your company. (check only one)

NDT Utilization BusinessAerospace/Aviation/Aircraft MedicalAmusement Rides & Skiing NuclearAutomotive OpticalChemical & Petroleum OrdnanceConstruction PipelineCommercial Labs Pulp/PaperInfrastructure (Roads & Bridges) RailroadElectronics Semi ConductorMarine Utilities

NDT Supplier BusinessConsulting RoboticsDistributor/Manufacturers’ Supplies

Representative TrainingEquipment Computer SoftwareResearch Computer Hardware

2. Gender Male Female

1. Date of Birth (mm/dd/yyyy)

4. Years of Experience in NDT0–5 6–10 11–15 16–20 21 & over

5. Number of people involved with NDT at your company1–5 6–20 21–50 51–100 over 100

7. Purchasing Responsibility (check all that apply)I recommend/approve purchase of

equipment/instruments/suppliesI recommend/approve purchase of training & study

materials/programsI recommend purchase of servicesI am not involved in purchasing

8. Which NDT method(s) do you perform? (check all that apply)

10. Choose the primary type of application of NDT that you do? (check only one)Design and Failure AnalysisField InspectionIncoming InspectionIn-service, Plant/Operation Maintenance & Process ControlProduct Life ExtensionQA/QC ReliabilityNone of the above

11. Highest Level of NDT qualification. (check only one)None ASNT NDT Level IIILevel I ACCP Level IILevel II ACCP Level IIILevel III IRRSPOther_____________________________________

Name

OOEnrolled Completed

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OO

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