 |
Korean-American Scientists and Engineers Association(KSEA)
1952 Gallow Road, Suite 300, Vienna, Virginia 22182
Tel: (703) 748-1221, Fax: (703) 748-1331
E-mail: sejong@ksea.org, Web: http://www.ksea.org
|
| Organization Name |
|
| Hangul Name |
|
| Address (Department, Street, City, Country, Postal Code) |
|
| Tel: |
|
| Fax: |
|
| E-Mail: |
|
| Web |
|
| Representative Name |
|
| Hangul Name |
|
| Title |
|
| Tel |
|
| Fax |
|
| E-mail |
|
Annual Membership Fee:
For the companies
$10,000.00 __
For the research institutions
$7,500.00__
Check (Payable to KSEA): #_____________________ Amount $
__________(enclosed)
Credit Card: VISA ____ MasterCard ____ Amount
$__________________________
Card
#__________________________________ expires
________________________
Name on Card ______________________
Signature _______________ Date________
|
|
|
SPONSORS
APPLICATION FOR CORPORATE MEMBERSHIP