Student Membership Application

*TYPE OF MEMBERSHIP:*required to be filled-in
Student, Individual Member - including bi-monthly Deep Foundations magazine
      Must provide copy of Student I.D. by fax or emailed image to DFI HQ.
$50 US
Student, Individual Member
      Free membership is only available for students enrolled in a deep foundations
      related curriculum for up to 2 years. Must provide copy of Student I.D. and
      curriculum by fax or emailed image to DFI HQ.
free
Dues through December 31st of the year.
 
*College/University University of California
*Expected Graduation Datemonth/year, e.g. 6/2017
*Status  
Title [Ms., Mrs., Mr., Dr., etc.]
*First Name
*Last Name
Suffix [Jr., III, Sr. etc.]
Professional [P.E., P.Eng., PhD etc.]
Current Contact Information (during school year)
*Email jsmith@abc.com
*Address 123 Any St
   
*City Omaha
*State/ProvinceU.S. and Canada only
*Zip/Postal  
*Country USA
*Telephone 4125551934
Permanent Contact Information
*Email jsmith@abc.com
*Address 123 Any St
   
*City Omaha
*State/ProvinceU.S. and Canada only
*Zip/Postal
*Country USA
*Telephone 4125551934
Cell 4125551935
 
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