Volume 11, Number 3, September, 2003 - Noise News International
Volume 11, Number 3, September, 2003 - Noise News International
Volume 11, Number 3, September, 2003 - Noise News International
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Institute of <strong>Noise</strong> Control Engineering<br />
of the United States of America, Inc.<br />
Application for:<br />
INCE Associate.......................................................................INCE Associate applicants should complete this page only.<br />
INCE Student Associate (must be a full-time student)........INCE Student Associate applicants should complete this page only.<br />
Please type or print clearly.<br />
Date_________________________<br />
Title Mr. Ms. Dr. Prof. I am a consultant<br />
Name (last, first, middle)____________________________________________________________________<br />
Date of birth_ _____________________________________________________________<br />
Home Contact Information<br />
Home address_____________________________________________________________<br />
City_________________________________ State/Province_______________________<br />
Zip/Postal code ________________________ Country_ __________________________<br />
Home telephone_ __________________________________________________________<br />
Home fax________________________________________________________________<br />
Home E-mail_____________________________________________________________<br />
Business Contact Information<br />
Business/Organization name_________________________________________________<br />
Business address___________________________________________________________<br />
Position title_ _____________________________________________________________<br />
City_________________________________ State/Province_______________________<br />
Zip/Postal code ________________________ Country_ __________________________<br />
Business telephone_________________________________________________________<br />
Business fax_ _____________________________________________________________<br />
E-mail___________________________________________________________________<br />
Areas of Interest (Please select by numbering your first, second, and third areas of interest.)<br />
01 _____Sources<br />
09 _____Transportation <strong>Noise</strong><br />
02 _____Propagation<br />
10 _____Building Acoustics<br />
03 _____Passive Control<br />
<strong>11</strong> _____Industrial <strong>Noise</strong><br />
04 _____Active Control<br />
12 _____Community <strong>Noise</strong><br />
05 _____Perception and Effects of <strong>Noise</strong><br />
13 _____Information Technology Equipment<br />
06 _____Instrumentation and Measurement Techniques 14 _____Product <strong>Noise</strong> Control<br />
07 _____Prediction and Modeling Techniques 15 _____Other<br />
08 _____Standards<br />
(describe)_____________________<br />
Preferred Method of Contact<br />
Home Business<br />
Applicant's Signature ______________________________ Date___________________<br />
For Students<br />
I certify that the applicant is a full-time student<br />
Faculty Member's Signature__________________________________________________<br />
<strong>2003</strong> <strong>September</strong> www.inceusa.org • www.noisenewsinternational.net • www.i-ince.org<br />
Annual Fee for INCE<br />
Associates and Members<br />
Special 1st<br />
Fee Year Rate<br />
Student................USD 20..... USD 20<br />
Domestic USA....USD 95..... USD 50<br />
Outside USA.....USD 120..... USD 75<br />
INCE Associates and INCE Members<br />
receive both <strong>Noise</strong>/<strong>News</strong> <strong>International</strong><br />
and <strong>Noise</strong> Control Engineering Journal,<br />
and will receive reduced registration<br />
fees at INCE/USA conferences.<br />
Payment information<br />
Check<br />
Payment by check must be in U.S.<br />
dollars and drawn on a U.S. bank<br />
or on a bank with a correspondent<br />
relationship in the United States.<br />
Checks requiring a collection fee<br />
charged to INCE will be returned.<br />
Credit Card Information<br />
VISA<br />
MasterCard<br />
American Express<br />
__________________________<br />
Card <strong>Number</strong><br />
___________________________<br />
Expiration Date<br />
___________________________<br />
Signature<br />
Application Submission<br />
Mail<br />
Please mail this application<br />
form with check or credit card<br />
information to the address below.<br />
Fax<br />
Fax this application with credit card<br />
information to 515-294-3528.<br />
Contact Information<br />
Institute of <strong>Noise</strong> Control Engineering<br />
212 Marston<br />
Iowa State University<br />
Ames, IA 500<strong>11</strong>-2153 USA<br />
Phone: 515-294-6142<br />
Fax: 515-294-3528<br />
E-mail: ibo@inceusa.org<br />
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