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Corporate Membership Application | Print |
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: This e-mail address is being protected from spambots. You need JavaScript enabled to view it , Web: http://www.ksea.org
Organization Name  
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Representative Name  
Hangul Name  
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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________
Last Updated on Friday, 09 July 2010 13:04
 

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