Electrostatic Society of America

 

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Application for ESA Membership

You may apply for ESA membership by mail or by using the on-line form provided below.

If you apply on-line, you will be directed to our secure PayPal site for payment via credit card.

Apply by Mail:

When applying by mail, enclose US $20.00 along with your name, address, and the informational items listed below. (Sorry, we are not able to accept credit cards for mail-in applications; credit card payments may only be made when joining via the online form.)

When mailing, include:

  • Check or money order: $20.00 (US)
  • Name (please print clearly)
  • Address (Include zip code and country)
  • Occupation, for example: researcher, teacher, student, general electrostatics interest, etc.
  • Phone Number (indicate W for work and H for home if more than one)
  • Fax Number (include area code)
  • e-mail
  • Areas of Interest in Electrostatics:

Mail your membership information with payment to:
     Electrostatics Society of America
     Steve Cooper, Secretary/Treasurer
     540 Morton Rd.
     Athens, GA 30605

Apply for ESA Membership Online:
(
You will be asked to pay by credit card after filling out the form).

Name:
Address:
 
 
City
State/Province
Zip/Postal Code
Country
Affiliation (if any)
Phone Number:
Fax Number:
E-Mail:
Occupation:
Areas of Expertise or Interest:
Comments: