Enter the 21St Century With

Enter the 21st Century with

The American Society of Test Engineers, Inc. (ASTE) ANNUAL MEMBERSHIP FORM

The Society run by Test Professionals for Test Professionals

Post Office Box 389

Nutting Lake, MA 01865

www.astetest.org

Dear Test Professional,

The ASTE, an “all volunteer” non-profit corporation, would like to serve your test information needs as we enter the new millennium. Membership in the ASTE, dedicated to all test professionals, is available to “anyone” interested in Test Technology, Testing, and Test related issues. Your ASTE regular yearly dues are all used to further the goals of your ASTE and include the ASTE Newsletter subscription (published quarterly), a chance to publish work specifically related to Test Engineering, and a listing in the ASTE Corporate Mailing List. To receive the fact-filled ASTE Newsletter (designed to help you make your test job faster and easier, help you with your test career, and make you part of a network of test professionals nationwide), please choose one of the following options, fill out the rest of the form, and mail it to the ASTE at the above address.

For those of you whose membership is paid up thru a portion of 2004, we will bill you pro-rated for the remainder of the year to bring every one up to 2005. Multi year memberships will also be accepted. E-mail us if you have questions. -- The ASTE

ASTE Yearly/Lifetime MEMBERSHIP ORDER FORM: (Note: All memberships are tracked by the first of the year.)

Renewal: ______New Member: ______Referring Member:______

·  Individual Membership ($40.00/Yr) receives 4 ASTE Newsletters $______

·  Full Time Student Membership ($15.00/Yr), receives 4 ASTE Newsletters. $______

(Requires at least 2 “for credit” college course loads per qualifying year)

·  Corporate Membership ($400.00/Yr) $______

(Corporate membership includes all of the above for 4 members, including a one (1) year

access to the ASTE Mailing List.)

·  Individual “Lifetime” Membership ($1000.00) $______

·  Corporate “Lifetime” Membership ($5000.00) $______

(Lifetime Corporate members will be listed as such in all following

ASTE newsletters)

·  Tax Deductible Donation to ASTE (Tax ID# 36-3307587) $______

Total (Make Personal or Company Check payable to: ASTE) Total: $______

PERSONAL/PROFESSIONAL Information (Please Enclose Your Business Card if available) Please Print

Last Name:______First Name:______Initial:______

Home Address:______Home Phone: ( )______

Home City ______State/Country:______Zip Code:______

Company Name:______Company www site______

Company Address:______Company Phone:(____ )______Ext:______

Company City:______State/Country:______Zip Code:______

E-Mail:______Pref. NL Mailing Addr.(Home)_____(Work)_____(from ASTE www*)______

Professional Interests/Expertise (Optional): ______

Comments:______

For Office use only. Date Rec’d:______Chk #:______Renewal Date:______Classif.______(ASTE Form 2004-01-01)

* WWW Site password for NL Access will be e-mailed to you if you prefer to get the ASTE NL from the ASTE www site.