MEMBERSHIP APPLICATION




Grades
There are three grades of membership.
Select a grade from list at right to review requirements for membership in SNAME:
1. Member
2. Affiliate
3. Associate Member
Required Fields*
Now, Select a Grade* Member Affiliate Associate Member Reinstatement
          or
Change Your Grade To Member Affiliate
   If Change of Grade, provide present/former Membership #:

Instructions for New Applicants
Complete the following application form providing all requested details. If you have any questions or would like additional information, please contact your local Membership Chairperson or SNAME's Member Services Department at: 1-800-798-2188 ext. 5058, fax: 201-798-4975 or email: Linda Davis. The issues to the right require particular attention:
Employment Information
References
Application Review
Requesting Change of Grade
Reinstatement

   Personal Information

Prefix*   First Name*   Last Name*  Middle Initial
Address*   Home Tel. Area Code/#*
City*   State/Province*   Country*   Zip Code*
Email
In order to serve you better, we request you provide us with an e-mail address. View SNAME's Privacy Policy

Birthdate (format: mm/dd/yyyy ; e.g.: 10/31/2002)*  


   Business Information

Company   Title
Company's Activity*  
Address   Bus. Tel. Area Code/#  
City   State/Province   Country   Zip Code
Email

Fax #  
Indicate Mailing Preference* Business Home


   Education History
College or University Location Major Date/Degree Received
* * *
     
     

   Professional Qualifications

Professional Licenses (State of Registry and Type)
Member of Following Societies
AIAA
IEEE
 		ASCE
ImarEST
 		ASME
MTS
 		ASNE
RINA
  Other (please specify)

Describe significant contributions in your field, such as important projects, major contributions to periodicals, publications, honors, awards, membership in honorary societies and participation on committees, etc.


   Employment Information

Date of Each Position* (Mo/Yr) Employment Information*
Provide detailed information regarding each position held in date order. 		Total Time In Position (Yrs/Mos)
From*
To*
Position*

Firm*

Specific Duties*

Yrs/Mos
From
 		To
 		Position

Firm

Specific Duties

 		Yrs/Mos
From
 		To
 		Position

Firm

Specific Duties

 		Yrs/Mos
From
 		To
 		Position

Firm

Specific Duties

 		Yrs/Mos
From
 		To
 		Position

Firm

Specific Duties

 		Yrs/Mos



   References
Name Affiliation Check Box if
SNAME Member
     
     
     

Recruited by

Dues & Entrance Fee Schedule
Payment Required with Application

For new members joining the Society between January 1 and April 30 = Full dues, plus a one-time entrance fee.
For new members joining the Society between May 1 and September 30 = Pay 50% of the current dues rate, plus a one-time entrance fee.
For new members joining the Society between October 1 and December 31 = Pay full dues, plus a one-time entrance fee, and your payment will be applied toward your next year's membership (15 months membership for the price of 12).

Grade Entrance Fee Annual Dues
Affiliate/Associate Member/Member age 25 or less $ 5.00 $ 50.00
Affiliate/Associate Member/Member age 26-28 $ 5.00 $ 75.00
Affiliate/Associate Member/Member age 29-31 $ 5.00 $100.00
Affiliate (A) age 32 or older $20.00 $150.00
Associate Member (AM) age 32 or older $10.00 $150.00
Member (M) age 32 or older $20.00 $150.00

NOTE: All NEW members receive a free subscription to Marine Technology. Please indicate which of the following additional publications you would like to receive during your first year of membership at no cost. Note: This offer is available to new members, not members requesting a change of grade in their membership.

Journal of Ship Production or
Journal of Ship Research

   Method of Payment*

Check enclosed with application (if mailing the application)
Pay now with credit card. Member benefits commence after the Application Committee has reviewed your application details. The Committee meets every two months. Contact Linda Davis to confirm date of next scheduled Application Committee meeting.

MasterCard VISA American Express

Account Number   Security Code   Expiration Date


   Applicant's Signature
By submitting this application electronically, you pledge to abide by the SNAME Bylaws.