The Chines Mechanical Engineering Society

MEMBERSHIP APPLICATION FORM CHINESE MECHANICAL ENGINEERING SOCIETY Headquarters: 11th Floor, 4th Building

9 Shouti Road South 100048, Beijing http://www.cmes.org E-mail:

Tel: 86 10 6879 9025 Fax: 86 10 6879 9050

(Please print)

Member-Get-A- Member Sponsor Name Membership Number

□Mr. □Mrs. □Ms. Last name__ __ First name ___ Chinese name

Gender: □M /□F Birthdate /M /D /Y E-mail: Nationality

Home Address Send Mail To□ Home

Company Name Position Title

Company Address (Check one) □Company

years of mechanical engineering experience Tel: Fax:

OTHER PROFESSIONAL ENGINEERING MEMBERSHIP COLLEGE(S) /UNIVERSITY(S) ATTENDED

Years of Area of Date Degree

Society name Grade Membership College/university -Location Study Awarded

EDUCATION-HIGHEST DEGREE GRANTED (CHECK BOXES ONLY ONE)

01□ No Degree 02□ Associate 03□ Technician 04□ Bachelor 05□ Master 06□ Doctorate 07□ Others

TECHNICAL DIVISION INTERESTED

1St Choice□□ 2nd Choice□□

Free magazine offer (check only one): Monthly, Chinese Edition

□  Newsletter of The Chinese Mechanical Engineering Society □Plant Maintenance Engineering

□ Manufacturing Technology & Machine Tool □Machinery & Electronics.

Quarterly, English Edition □Chinese Journal of Mechanical Engineering.

Member No Application Date Signature

(For Headquarters Use Only)