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O NEW MEMBER
O
RENEWAL (MEMBER #) ______________ PLEASE PRINT
O
Mr. O
Dr. O
Ms. O
Mrs.
_____________ ______________ _____________
Name (First) (M.Initial) (Last)
Branch of Service_______________ Mil Rank/Civil
Service___________
Title ______________________________________________________
Firm/Agency/org._____________________________________________
O
Home O
Business Mailing Address
________________________
__________________________________________________________
E-Mail Address
______________________________________________
Daytime Telephone Number ____________________________________
(Include country/City code or Area code)
Fax Number ________________________________________________
(Include country/City code or Area code)
Chapter Preference___________________________________________
METHOD OF PAYMENT
O
Check O Cash
LENGTH/Fee (US $ or equivalent)
O 1 Year $35 (After January 1,
2003)
O
1 Year $15 (Full-Time Student)
O
3 Years $85 (Save
$20)
O
Life $400 (For members 40 or over 40 years of age)
O
Life $700 (For members under 40 years of age)
Submitted by
AFCEA
TÜRKİYE
Chapter.
Eligibility Verified by _____________ Chapter Officer
Date:_________________
Mail With Your Payment to:
AFCEA TÜRKİYE
P.K. 101,
06172
Yenimahalle /ANKARA/TÜRKİYE
Tel: +90 (312) 592 15 74
Fax: + 90 (312) 354 13 02
Bank
Account: AKBANK A.Ayrancı Branch
US $ Acc.No: BU8/0023245/01-4
YTL Acc. No: DHU/0024635/01-5
Note: Each
section MUST be completed. AFCEA Membership is open to Citizens of Free
World Countries. Citizen of ____________________________________ |
PRIMARY OCCUPATIONAL CLASSIFICATION
Which ONE below is your occupation? Show number ____
Then check all others that apply
O
20 Active Air Force
O
21 Active Army
O
22 Active Coast Guard
O
23 Active Marine Corps
O
24 Active Navy
O
25 Business/Industry
O
26 Consultant
O
27 MOD Civilian
Gov. Employee
O
28 Educator/Academia
O
29 Full-Time Student
O
30 Non MOD Civilian
Government Employee
O
31 State/Local Government
Employee
O
50 Other (Describe)
AREA OF
INVOLVEMENT
Which One below best describes your work? Show number ____
Then check all others that apply
O
20 Data Processing
O
21 Engineering / R&D
O
22 Information Systems/IRM
O
23 Maintenance
O
24 Management
O
25 Operations
O
26 Procurement/Test &
Evaluation
O
27 Production
O
28 Sales/Marketing
O
50 Other (Describe) |
APPLICATIONS
Which ONE below best describes your specialty? Show number ______
Then check all others that apply
O
20 Avionics
O
21 C3I
O
22 C4I
O
23 Command/Control
O
24 Communications
O
25 Computers
O
26 Computers in Communications
O
27 Electronic Warfare
O
28 Electronics
O
29 Emergency Management
O
30 Information Management
O
31 Intelligence
O
32 Law Enforcement
O
33 Public Safety
O
34 Radar
O
35 Satellites
O
36 System Management
O
50 Other (Describe)Membership
includes $20.00 for
your subscription to SIGNAL
(AFCEA dues are tax-deductible
as a business expense, but not
as a charitable contrribution)
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