NEW YORK STATE ENGINEERING TECHNOLOGY ASSOCIATION

Join colleagues from throughout New York State in the professional organization devoted to engineering technology education.

Membership Application

Today's date: _______________________________________

Name (please print): _________________________________

College address: ____________________________________

Email address: ______________________________________

Telephone (school): __________________________________

Fax: _________________________________________

Discipline (interest group):

¨ Civil/Construction/Architectural

¨ Electrical/Electromechanical

¨ Mechanical/Energy/Manufacturing

¨ Administrative

Signature: _________________________________________

Annual dues are $10.00.

Send this form together with your check for $10.00 (payable to the New York State Engineering Technology Association) to your institutional representative or mail to:

NYSETA

Treasurer

PO Box 7203

Garden City, NY 11530-7203