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CACS Membership Form

CHINESE AMERICAN CHEMICAL SOCIETY MEMBERSHIP FORM

( To input Chinese without any software click here .)

New Application Renewal Infomation Update

City: State: Zip Code:
Current Job Function: Academia Industrial R&D Consulting Sales/Marketing
Manufacturing Management Engineering/Design Computer Application
Other (specify):
Please indicate your interests in the following committees:
Membership Committee Newsletter Committee Website Committee Program Committee Public Relationship Committee
Recommended by: (Optional)
I hereby apply for membership to the CACS as a:
Regular Member ($20/year) Student Member ($10/year) Special Member($100/year) Life Member ($200 in one payment) Corporate Member ($850/year)
Additional Contributions: (Tax Deductible)

Please make check payable to CACS or Chinese American Chemical Society and mail to:

Dr. Xiaoqiu Wu,
CACS Tristate Chapter Treasurer,
P. O. Box 786, Edison,
NJ 08818

To pay the membership fee by credit cards, please click the button below:
 
 

Additional Contributions by credit cards,please click the button:

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