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Membership ApplicationNew England Chapter Society of Explosives Engineers Tel. 978-562-6211 Fax. 978-562-2662 nesee@nesee.org APPLICATION FOR MEMBERSHIP Name: Home Address:___________________________________________ Company Name:__________________________________________ Company Address:________________________________________ Home Phone:____________________________________________ Company Phone:_________________________________________ Email Address:___________________________________________ Fax Number:_____________________________________________ Cell Phone No:___________________________________________
Dues: $ 35.00 – New England Chapter Member [ ] Please print this page and attach with check and mail to: NESEE, P. O. Box 596, Hudson MA 01749 |
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