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An ASME Membership Certificate will acknowledge

your professional status and display your pride!


Beveled Glass Frame

John Smith

Walnut-Finish Plaque

By joining ASME, you have


demonstrated your commitment to
high professional standards. Let
others know you are a member of
the most respected professional
mechanical engineering
organization in the world by
displaying a handsome ASME
membership certificate in your
office or home. Great gift idea
consider having one custom made
for a family member or colleague
who is an ASME Member.
Every certificate is superbly printed
on 8 x 11 quality grade paper with
an embossed gold ASME seal. Your
certificate will bear your name,
current membership year, and the
signatures of the ASME President
and Executive Director.

John Smith

Three Options created exclusively for ASME members:


1

Beveled Glass Frame


Certificate enclosed in a
beautiful 11x14 beveled
edge glass frame with black
border providing an elegant,
contemporary style.

Walnut-Finish Plaque
Certificate matted under
clear lucite and mounted on
an attractive 10 x 13
walnut colored hardwood
plaque, providing a classic
look and style.

The Basic Ready to


frame personalized
certificate placed in an
attractive 9 x 12 blue
certificate holder with an
embossed ASME seal.

For more information: go.asme.org/MembershipCertificate

Certificate Information
Is this gift a purchase?

Yes No

Please print your name exactly as you want it to appear on the Membership Certificate:
_______________________________________________________________________________________

Membership Certificate
Order Form

Membership Number for Certificate name owner (if known): ___________________________________


Membership Grade to appear on Certificate:

Member Affiliate Student

Contact Information
Name of Person Ordering:__________________________________________________________________
Email Address: ______________________________________ Phone Number:______________________
Is this order being shipped to you?

Yes No

Ship To: (Do not use a PO Box for shipping)


First Name____________________________ Last Name________________________________________
Address Line 1___________________________________________________________________________
Address Line 2___________________________________________________________________________
City__________________________________ State/Province____________________________________
Postal Code_____________________________ Country_________________________________________

Certificate Order (all orders include FREE shipping)


Shipping
To:

Qty

Plain
Certificate

Qty

Wooden
Plaque

Qty

USA

$25

$45

$75

Canada

$25

$50

$80

Mexico

$25

$55

$85

International*

$25

$70

$100

* Please allow 3-5 weeks for shipping internationally.


** Order received with payment will be invoiced or charged applicable taxes.

22 Law Drive,
PO Box 2900
Fairfield, NJ
07007-2900 USA
For faster service, fax
or email credit card orders
to: 1-973-882-1717 or
membership@asme.org

Total

Order Total
Sales Tax**
Grand Total

Mail completed order


form with payment to:

ASME Membership
Certificates

Glass
Frame

Method of Payment (all payments must be in US dollars)


Check Enclosed Make check payable to: ASME
Credit Card Type Visa Master Card American Express Discover Euro Card
Cardholder Name_________________________________________________________________________
Card Number______________________________________ Security Code (CSC/CVV2)_____________
Signature of Card Holder__________________________________Expiration Date___________________
11/2014