Membership Application
ISPI Armed Forces Chapter


* Military Rank/Civilian Title:

 

* Name (First MI Last):

 

* Organization:

 

* Position/Specialty:

 

 

CPT?  Y / N            ISPI Member?  Y / N         Six Sigma?   Y / N

* Email Address:

 

Alternate Email

 

Mailing address:

 

 

 

 

 

* Phone numbers:

Primary:

 

 

Alternate:

 

 

Fax:

 

* Required Information

 

Type of Membership

 

Individual

$10 per year

 

Student

$5 per year 

 

Name of school:

 

 

 

Do you want to be listed in the online membership roster? Y / N

(The Online Roster contains limited information and is password protected)

You can mail this form and your check for membership dues to:
Armed Forces Chapter – ISPI
c/o Lloyd Long
1008 SW 43rd Street
Moore, OK 73160

Or you may log onto http://www.afc-ispi.org/join.html and fill out the form and email to Lloyd.long@navy.mil and use the Paypal link to complete payment. 
Chapter members from outside the United States should us PayPal since our bank charges $75 to process checks from other countries.

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