Membership Application

PLEASE NOTE: If you are a current member of SMRP,please do not use the following application to renew your membership. This application is only for those joining SMRP for the first time. If you would like to renew your membership please login to the members only section and click on renewal.

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  • For users from the USA, please enter all phone numbers in the format (302)392-3929
  • Please enter all dates in the format MM/DD/YYYY


Membership Dues (Individual)
Please select one of the below membership dues:

Emerging Professional Membership - 1 Year - $25.00

Individual Membership - 3 Years - $250.00

Individual Membership - 1 Year - $125.00

Industry Partner Individual Memberhip - 3 Years - $250.00

Industry Partner Individual Membership - 1 Year - $125.00

 
Membership Dues (Executive)
Please select one of the below membership dues:

Academic Basic Membership - $250.00

Executive Member Academic Basic 3 year - $675.00

Executive Membership Academic Premium - 1 year - $2500.00

Executive Membership Academic Premium 3 year - $7050.00

Executive Membership Basic Plus - 1 year - $2000.00

Executive Membership-Basic Plus- 3 year - $5700.00

Executive Membership Enhanced - 1 year - $5000.00

Executive Member- Enhanced 3 year - $13800.00

Executive Member- 3 year - $3375.00

Executive Membership - 1 Year - $1250.00

Executive Membership Premium - 1 year - $17500.00

Executive Membership- Premium 3 year - $47550.00

Executive Membership Super - 1 year - $10000.00

Executive Member- Super 3 year - $27300.00

Industry Partner Executive Membership - 1 Year - $1250.00

Industry Partner Executive Member 3 year - $3375.00

Industry Partner Premium Executive Mbrshp - 1 year - $17500.00

Industry Partner Premium Executive Mbrshp 3 year - $47550.00

Industry Partner Super Executive Membership 1 year - $7500.00

Industry Partner Super Executive Member- 3 year - $20500.00

 
Optional Subscriptions
Choose your optional subscriptions.

Receive Newsletter Electronically - $0.00

Petro Chem, Oil Gas Special Interest Group - $15.00

Basic Information
First Name*
Last Name*
Professional Title
Credentials
ASQCETCIRM
CLSCMRPCPE
CPIMCPMCPMM
CQECRECSSBB
CSSGBEDDPE
PHD
Department
Company Name Search
 
Primary Contact Information
Address 1*
Address 2
City*
State/Province*
Zip/Postal Code*
Province
(If not listed above)
Country
Phone*
Email Address*
Company Website URL
How did you hear about us?
Chapter:
  How many years have you been involved in maintenance:
   
Demographic Information
Manufacturing Industries
Apparel (and other finished products made from fabrics)Chemicals/oil/energy
Computer equipmentElectronics/instruments
Fabricated metal productsFood and kindred products
Furniture and fixturesIndustrial and commercial machinery
Leather and leather productsLumber and leather products
Machinery/electricalMeasuring, analyzing and c ontrolling instruments
PharmaceuticalsPrimary metals
Printing, publishing and allied industriesPulp and paper
Rubber and miscellaneous plastic productsStone, clay, glass and concrete products
Textile mill productsTobacco products
TransportationOther
Non-Manufacturing Industries
Commercial facilitiesHospitals
MiningUtilities
Other
Government/Academic/Military Consulting
College or UniversityConsulting
Government AgencyMilitary
ResearchOther
Subject area(s) of interest:
(Check all that apply)
Benchmarking analysis/trendingCompetitive practices
Computer systemsDiagnostics/sensors/data collection
Ergonomics/health/safetyImplementation/people strategies
MaintainabilityMaintenance costs
Maintenance management philosophiesOrganizational structures
Parts handling and controlPlanning and scheduling
Predictive technologiesPreventative/planned strategies
ReliabilityTraining
OtherReceive Hard Copy of Solutions Newsletter
Primary interests in joining SMRP
(Select top 3 interests only):
Annual conferenceBenchmarking
Case studiesChapter meetings
Executive member meetingsNetworking
PublicationsSpeakers bureau
WorkshopsOther
 



Totals

Balance Due: $
Membership Dues: $0.00
Optional Subscriptions: $0.00
Optional Donations: $0.00
Chapter Subscription: $0.00
Total Payment: $0.00
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Copyright 2007-2008   •   Society for Maintenance & Reliability Professionals   •   8400 Westpark Drive, 2nd Floor, McLean, Virginia 22102
Headquarters Office: 800-950-7354 or 703-245-8011   •   FAX: 703-610-0249