APPLICATION FOR THE TENNESSEE VALLEY CHAPTER OF SFPE. PLEASE
PRINT. NAME: TITLE: EMPLOYER: BUSINESS MAILING ADDRESS:.
TENNESSEE VALLEY CHAPTER SFPE
-LPP\/DQGPHVVHU-U, TVSFPE Treasurer 1HZKDYHQ5G 2DN5LGJH, TN 37 APPLICATION FOR THE TENNESSEE VALLEY CHAPTER OF SFPE PLEASE PRINT NAME: TITLE: EMPLOYER: BUSINESS MAILING ADDRESS:
HOME MAILING ADDRESS:
PREFERED MAILING ADDRESS: BUSINESS
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PHONE #:
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ARE YOU A MEMBER OF THE NATIONAL SOCIETY OF FIRE PROTECTION ENGINEERS? YES
NO
IF YES, GRADE:
NOTE: If you do not hold one of the grades of membership in the Society of Fire Protection Engineers listed at the right, Society by-laws prohibit you from referring to membership in the Society or a local chapter in any printed or published materials.
GRADE OF NATIONAL MEMBERSHIP (HM) HONORARY (F) FELLOW (M) MEMBER (ML) MEMBER FOR LIFE (AS) ASSOCIATE (A) AFFILIATE (AL) ALLIED (S) STUDENT
ARE YOU A REGISTERED PROFESSIONAL ENGINEER? STATE OF REGISTRATION
YES
NO
DISCIPLINE
If you are a member of National SFPE, your local Annual Membership Dues are $20.00. If you are not a member of National SFPE, your ‘Friend of the Chapter’ mailing fee is $20.00. In either event, please make your check payable to: TVSFPE
