Professional Membership

Application
AMERICAN SOCIETY OF MECHANICAL ENGINEERS

Instructions: Complete all applicable fields and mail with payment to: ASME
Service Center, 150 Clove Road, 6th Floor, Little Falls, NJ 07424-2100, or
fax to: 1-973-882-1717. Applications without payment will not be processed.
For assistance completing this application, please call 1-646-616-3100 or
1-800-THE-ASME, or email questions to customercare@asme.org.
You can also join online at: www.asme.org/membership

2015-2016 Membership Dues Schedule Choose one:

Member or Affiliate (see page 2 for definition). . . . . . . . . . . . . . . . $149 USD
Member within 1 year of graduation . . . . . . . . . . . . . . . . . . . . . . . . $ 59 USD
Member within 2 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $ 81 USD
Member within 3 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $104 USD
Member within 4 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $126 USD
Residents of certain countries may be eligible for additional discounts. See second page for details.

What Interests You? Choose up to eight:

Connect with engineering professionals and participate in as many interest groups
as you would like from the list below. ASME groups allow engineers and technical
professional to receive relevant information and engage with others who share
similar interests throughout the world. Indicate up to 8 selections. To become an
online Participant in these and other groups beyond the available fields below, visit
our website at www.asme.org/groups

27 Advanced Energy Systems

10 Materials

01 Aerospace

29 Materials and Energy Recovery

02 Applied Mechanics

04 Materials Handling Engineering

42 ASME International Outreach

39 Microelectromechanical Systems

09 Bioengineering

41 Nanotechnology Institute

31 Computers & Information in Engineering

32 Noise Control & Acoustics

14 Design Engineering
25 Dynamic Systems & Control

33 Non-destructive Evaluation, Diagnosis,

and Prognosis

44 Early Career (Connect)

17 Nuclear Engineering

45 ECLIPSE

35 Ocean, Offshore & Arctic Engineering

34 Electronic & Photonic Packaging

16 Petroleum

23 Environmental Engineering

40 Pipeline Systems

47 Engineers Without Borders

21 Plant Engineering & Maintenance

48 Entrepreneur's Network

19 Power

36 Fluid Power Systems & Technology

50 Pre-College

08 Fluids Engineering

28 Pressure Vessels & Piping

46 Grad Students

12 Process Industries

11 Heat Transfer

18 Rail Transportation

38 Information Storage & Processing Systems

07 Safety Engineering & Risk Analysis

05 Internal Combustion Engine

30 Solar Energy

22 Intl Gas Turbine Institute

51 Student Liaisons

49 Latin American Boiler Users Group

24 Technology & Society

03 Management

15 Tribology

13 Manufacturing Engineering

43 Women in Engineering

ASME Grades of Membership

Personal Information Complete all applicable fields:

________________________________________________________________
Last Name/Family Name
___________________________________ ___________
First Name/Given Name
Initial

M F
______________
Gender

________________________________________________________________
Birthdate MM / DD / YYYY (you must include exact birthdate with year)
________________________________________________________________
Company
________________________________________________________________
Primary (Mailing) Address Home Business
________________________________________________________________
(please attach additional sheet if more space is needed for address)
__________________________________ ___________ ________________
City
State/Province Country
_________________ _____________________________________________
Zip/Postal Code
Telephone w/area code Mobile Home Business

C3.1.5 A Member, at the time of admission or advancement to that grade, shall have attainments amounting to the equivalent of at least eight years of engineering experience.
(Note: A degree in an approved engineering curriculum or a baccalaureate degree in an approved engineering technology curriculum shall be accepted as equivalent to the
eight-year experience requirement.)
C3.1.6 An Affiliate should be a person who is capable of and interested in rendering service to the field of engineering; and whose work should be so related to applications of
engineering that admission to this grade will contribute to the welfare of the Society.
Membership grades will be assigned based on information provided with this form. Additional information may be required for other grades.

Professional History
Select a code based on your Principal Job Function

Select a code that best describes your Title

01
02
03
13
14
04
05
06
11
15
12
07
08

Engineering

General or corporate management

Product design, including applied research and development
Systems design, including applied research and development
Design of equipment for in-plant use
Other design engineering functions
Production engineering (processing or manufacturing)
Testing, reliability assurance, quality control, and standards
Plant engineering, operations, and maintenance
Basic research & development
Other process engineering functions
Consulting
Education
Other-please specify:___________________________________________

31
32
33
34

Non-Engineering
35
36
37
38

Degree

Area of Study

Name of current
employer

Date of Degree

___________________________________ ____________________________
Email Address
Fax Number (including area code)

Dues Payment Information Payment by:

Check AmEx Visa Mastercard Discover
Euro Card Money Order

Job Title
Length of time in
current job
1. No Degree 2. B.A. 3. B.E. 4. B.S. 5. M.A. 6. M.S.
7. M.E. 8. Ph.D. 9. Sc.D. 10. Other (Describe)____________

_____________________________________ ____________________
Exp. Date (MM/YY)
Security Code (CSC/CVV2)
__________________________________________________________
Cardholder Name
___________________________________________________________
Cardholder Signature

(A) I authorize the Society to verify the information contained in this application and, to that end, to contact any educational institution, professional society, publisher, employer, or otherentity named
or identified in this application or in any document submitted in support of this application. I hereby consent to and authorize the release and disclosure to ASME of any information records or
correspondence as required to verify the information in the application, which is held by any such entity identified in this application.
(B) I subscribe to the above and, if elected to any grade, will be governed by the Constitution and By-Laws of the Society and its Code of Ethics as long as I continue as a member. I furthermore
agree to promote the objectives of the Society so far as shall be in my power.

Please complete all sections on back side of application.

Market Code: PROAPP16

Reference Please complete to the best of your ability.

Check box if your reference is an ASME Member
Name___________________________ Company____________________________
Address__________________________________ City________________________

License No.

Date of Issue

State/Province_____________ Postal code____________ Country________________

Email _______________________________ Telephone________________________

COUNTRIES ELIGIBLE FOR 50% DUES DISCOUNT

___________________________________________________________
Credit Card Number

months:

State/Country

Sales tax will be added automatically when paying by Credit Card.

$ ________________
$ ________________
$ ________________

years:

Professional Engineering Registration P.E.

Residents of South Dakota and Canada are required to calculate and

add sales tax to their payment when paying by Check or Money Order.*

ASME Membership Dues

* Sales Tax
Total

President, Owner, etc.

Vice President, Senior Manager, etc.
Project Manager, Manager, or Supervisor
Other (e.g., sales, marketing)

Professional Record (attach resume or curriculum vitae)

College(s) / University(ies) Attended

College/University Location

Corporate V.P. for Engineering, Director, etc.

Chief Engineer, Senior Engineer, etc.
Project Manager
Other (e.g. Engineer, Allied Scientist)

AFGHANISTAN
BANGLADESH
BENIN
BHUTAN
BURKINA FASO
BURUNDI
CAMBODIA
CENTRAL AFRICAN REPUBLIC
CHAD
COMOROS
CONGO, DEM. REP
COTE D'IVOIRE
DJIBOUTI
ERITREA
ETHIOPIA
GAMBIA
GHANA
GUINEA
GUINEA - BISSAU
HAITI
INDIA
KENYA
KOREA, DEM. REP.
KYRGYZ REPUBLIC
LAOS
LIBERIA

MADAGASCAR
MALAWI
MALI
MAURITANIA
MONGOLIA
MOZAMBIQUE
MYANMAR
NEPAL
NIGER
NIGERIA
PAKISTAN
RWANDA
SENEGAL
SIERRA LEONE
SOLOMON ISLANDS
SOMALIA
TAJIKISTAN
TANZANIA
TIMOR-LESTE
TOGO
UGANDA
UZBEKISTAN
VIETNAM
YEMEN REPUBLIC
ZAMBIA
ZIMBABWE

COUNTRIES ELIGIBLE FOR 25% DUES DISCOUNT

ALBANIA
ALGERIA
ANGOLA
ARMENIA
AZERBIJAN
BELARUS
BELIZE
BOLIVIA
BOSNIA & HERZEGOVINA
BULGARIA
CAMEROON
CAPE VERDE
COLOMBIA
CONGO REP
CROATIA
ECUADOR
EGYPT, ARAB REP.
EL SALVADOR
FIJI
GEORGIA
GUATEMALA

GUYANA
HONDURAS
INDONESIA
IRAN
IRAQ
JAMAICA
JORDAN
KAZAKHSTAN
KIRIBATI
KOSOVO
LAO PDR
LESOTHO
MALDIVES
MARSHALL ISLANDS
MICRONESIA, FED. STS.
MOLDOVA
MOROCCO
NAMIBIA
NICARAGUA
PAPUA NEW GUINEA
PARAGUAY

PEOPLES REP/CHINA
PERU
PHILIPPINES
SAMOA
SAO TOME AND PRINCIPE
SERBIA
SOUTH SUDAN
SRI LANKA
SUDAN
SURINAME
SWAZILAND
SYRIAN ARAB REPUBLIC
THAILAND
TONGA
TUNISIA
TURKMENISTAN
TUVALU
UKRAINE
VANUATU
WEST BANK AND GAZA

ASME Service Center 150 Clove Road, 6th Floor, Little Falls, NJ 07424-2100
Phone: 1-646-616-3100 (Global)
1-800-THE-ASME/1-800-843-2763 (U.S./Canada)
Fax:
1-973-882-1717 Email: customercare@asme.org

8/2015

Professional Membership
Application
AMERICAN SOCIETY OF MECHANICAL ENGINEERS

Instructions: Complete all applicable fields and mail with payment to: ASME
Service Center, 150 Clove Road, 6th Floor, Little Falls, NJ 07424-2100, or
fax to: 1-973-882-1717. Applications without payment will not be processed.
For assistance completing this application, please call 1-646-616-3100 or
1-800-THE-ASME, or email questions to customercare@asme.org.
You can also join online at: www.asme.org/membership

2015-2016 Membership Dues Schedule Choose one:

Member or Affiliate (see page 2 for definition). . . . . . . . . . . . . . . . $149 USD
Member within 1 year of graduation . . . . . . . . . . . . . . . . . . . . . . . . $ 59 USD
Member within 2 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $ 81 USD
Member within 3 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $104 USD
Member within 4 years of graduation . . . . . . . . . . . . . . . . . . . . . . . $126 USD
Residents of certain countries may be eligible for additional discounts. See second page for details.

What Interests You? Choose up to eight:

Connect with engineering professionals and participate in as many interest groups
as you would like from the list below. ASME groups allow engineers and technical
professional to receive relevant information and engage with others who share
similar interests throughout the world. Indicate up to 8 selections. To become an
online Participant in these and other groups beyond the available fields below, visit
our website at www.asme.org/groups

27 Advanced Energy Systems

10 Materials

01 Aerospace

29 Materials and Energy Recovery

02 Applied Mechanics

04 Materials Handling Engineering

42 ASME International Outreach

39 Microelectromechanical Systems

09 Bioengineering

41 Nanotechnology Institute

31 Computers & Information in Engineering

32 Noise Control & Acoustics

14 Design Engineering
25 Dynamic Systems & Control

33 Non-destructive Evaluation, Diagnosis,

and Prognosis

44 Early Career (Connect)

17 Nuclear Engineering

45 ECLIPSE

35 Ocean, Offshore & Arctic Engineering

34 Electronic & Photonic Packaging

16 Petroleum

23 Environmental Engineering

40 Pipeline Systems

47 Engineers Without Borders

21 Plant Engineering & Maintenance

48 Entrepreneur's Network

19 Power

36 Fluid Power Systems & Technology

50 Pre-College

08 Fluids Engineering

28 Pressure Vessels & Piping

46 Grad Students

12 Process Industries

11 Heat Transfer

18 Rail Transportation

38 Information Storage & Processing Systems

07 Safety Engineering & Risk Analysis

05 Internal Combustion Engine

30 Solar Energy

22 Intl Gas Turbine Institute

51 Student Liaisons

49 Latin American Boiler Users Group

24 Technology & Society

03 Management

15 Tribology

13 Manufacturing Engineering

43 Women in Engineering

ASME Grades of Membership

Personal Information Complete all applicable fields:

________________________________________________________________
Last Name/Family Name
___________________________________ ___________
First Name/Given Name
Initial

M F
______________
Gender

________________________________________________________________
Birthdate MM / DD / YYYY (you must include exact birthdate with year)
________________________________________________________________
Company
________________________________________________________________
Primary (Mailing) Address Home Business
________________________________________________________________
(please attach additional sheet if more space is needed for address)
__________________________________ ___________ ________________
City
State/Province Country
_________________ _____________________________________________
Zip/Postal Code
Telephone w/area code Mobile Home Business

C3.1.5 A Member, at the time of admission or advancement to that grade, shall have attainments amounting to the equivalent of at least eight years of engineering experience.
(Note: A degree in an approved engineering curriculum or a baccalaureate degree in an approved engineering technology curriculum shall be accepted as equivalent to the
eight-year experience requirement.)
C3.1.6 An Affiliate should be a person who is capable of and interested in rendering service to the field of engineering; and whose work should be so related to applications of
engineering that admission to this grade will contribute to the welfare of the Society.
Membership grades will be assigned based on information provided with this form. Additional information may be required for other grades.

Professional History
Select a code based on your Principal Job Function

Select a code that best describes your Title

01
02
03
13
14
04
05
06
11
15
12
07
08

Engineering

General or corporate management

Product design, including applied research and development
Systems design, including applied research and development
Design of equipment for in-plant use
Other design engineering functions
Production engineering (processing or manufacturing)
Testing, reliability assurance, quality control, and standards
Plant engineering, operations, and maintenance
Basic research & development
Other process engineering functions
Consulting
Education
Other-please specify:___________________________________________

31
32
33
34

Non-Engineering
35
36
37
38

Degree

Area of Study

Name of current
employer

Date of Degree

___________________________________ ____________________________
Email Address
Fax Number (including area code)

Dues Payment Information Payment by:

Check AmEx Visa Mastercard Discover
Euro Card Money Order

Job Title
Length of time in
current job
1. No Degree 2. B.A. 3. B.E. 4. B.S. 5. M.A. 6. M.S.
7. M.E. 8. Ph.D. 9. Sc.D. 10. Other (Describe)____________

_____________________________________ ____________________
Exp. Date (MM/YY)
Security Code (CSC/CVV2)
__________________________________________________________
Cardholder Name
___________________________________________________________
Cardholder Signature

(A) I authorize the Society to verify the information contained in this application and, to that end, to contact any educational institution, professional society, publisher, employer, or otherentity named
or identified in this application or in any document submitted in support of this application. I hereby consent to and authorize the release and disclosure to ASME of any information records or
correspondence as required to verify the information in the application, which is held by any such entity identified in this application.
(B) I subscribe to the above and, if elected to any grade, will be governed by the Constitution and By-Laws of the Society and its Code of Ethics as long as I continue as a member. I furthermore
agree to promote the objectives of the Society so far as shall be in my power.

Please complete all sections on back side of application.

Market Code: PROAPP16

Reference Please complete to the best of your ability.

Check box if your reference is an ASME Member
Name___________________________ Company____________________________
Address__________________________________ City________________________

License No.

Date of Issue

State/Province_____________ Postal code____________ Country________________

Email _______________________________ Telephone________________________

COUNTRIES ELIGIBLE FOR 50% DUES DISCOUNT

___________________________________________________________
Credit Card Number

months:

State/Country

Sales tax will be added automatically when paying by Credit Card.

$ ________________
$ ________________
$ ________________

years:

Professional Engineering Registration P.E.

Residents of South Dakota and Canada are required to calculate and

add sales tax to their payment when paying by Check or Money Order.*

ASME Membership Dues

* Sales Tax
Total

President, Owner, etc.

Vice President, Senior Manager, etc.
Project Manager, Manager, or Supervisor
Other (e.g., sales, marketing)

Professional Record (attach resume or curriculum vitae)

College(s) / University(ies) Attended

College/University Location

Corporate V.P. for Engineering, Director, etc.

Chief Engineer, Senior Engineer, etc.
Project Manager
Other (e.g. Engineer, Allied Scientist)

AFGHANISTAN
BANGLADESH
BENIN
BHUTAN
BURKINA FASO
BURUNDI
CAMBODIA
CENTRAL AFRICAN REPUBLIC
CHAD
COMOROS
CONGO, DEM. REP
COTE D'IVOIRE
DJIBOUTI
ERITREA
ETHIOPIA
GAMBIA
GHANA
GUINEA
GUINEA - BISSAU
HAITI
INDIA
KENYA
KOREA, DEM. REP.
KYRGYZ REPUBLIC
LAOS
LIBERIA

MADAGASCAR
MALAWI
MALI
MAURITANIA
MONGOLIA
MOZAMBIQUE
MYANMAR
NEPAL
NIGER
NIGERIA
PAKISTAN
RWANDA
SENEGAL
SIERRA LEONE
SOLOMON ISLANDS
SOMALIA
TAJIKISTAN
TANZANIA
TIMOR-LESTE
TOGO
UGANDA
UZBEKISTAN
VIETNAM
YEMEN REPUBLIC
ZAMBIA
ZIMBABWE

COUNTRIES ELIGIBLE FOR 25% DUES DISCOUNT

ALBANIA
ALGERIA
ANGOLA
ARMENIA
AZERBIJAN
BELARUS
BELIZE
BOLIVIA
BOSNIA & HERZEGOVINA
BULGARIA
CAMEROON
CAPE VERDE
COLOMBIA
CONGO REP
CROATIA
ECUADOR
EGYPT, ARAB REP.
EL SALVADOR
FIJI
GEORGIA
GUATEMALA

GUYANA
HONDURAS
INDONESIA
IRAN
IRAQ
JAMAICA
JORDAN
KAZAKHSTAN
KIRIBATI
KOSOVO
LAO PDR
LESOTHO
MALDIVES
MARSHALL ISLANDS
MICRONESIA, FED. STS.
MOLDOVA
MOROCCO
NAMIBIA
NICARAGUA
PAPUA NEW GUINEA
PARAGUAY

PEOPLES REP/CHINA
PERU
PHILIPPINES
SAMOA
SAO TOME AND PRINCIPE
SERBIA
SOUTH SUDAN
SRI LANKA
SUDAN
SURINAME
SWAZILAND
SYRIAN ARAB REPUBLIC
THAILAND
TONGA
TUNISIA
TURKMENISTAN
TUVALU
UKRAINE
VANUATU
WEST BANK AND GAZA

ASME Service Center 150 Clove Road, 6th Floor, Little Falls, NJ 07424-2100
Phone: 1-646-616-3100 (Global)
1-800-THE-ASME/1-800-843-2763 (U.S./Canada)
Fax:
1-973-882-1717 Email: customercare@asme.org

8/2015