|
Missouri Society of Professional Engineers Sustaining
Organization Application
PLEASE INDICATE NAME OF SUSTAINING ORGANIZATION AS IT SHOULD
APPEAR IN ALL MSPE LISTINGS:
NAME____________________________________________________________
ADDRESS_________________________________________________________
__________________________________________________________________
PHONE___________________________________________________________
PLEASE LIST PERSON(S) REPRESENTING SUSTAINING ORGANIZATION:
You may list two (2) representatives for the first $250 donated
and one (1) additional representative for each $200 thereafter.
NOTE: Sustaining Organization donation cannot be credited
toward individual membership.
Name and Title (Key Contact)_______________________________________
Name and Title___________________________________________________
Name and Title___________________________________________________
*Payments may be deductible under the Internal Revenue Code,
but are not deductible as charitable contributions.
-Attached is a three-quarter (3/4) page typewritten double
spaced narrative profiling our organization for publication
in The Missouri Engineer. We understand that upon enrollment
an eighth (1/8) page in the newspaper will be used to feature
our enrollment and profile at no charge. Normal display rate
for this space would be $205.
___ Attached is check for $___________
___ Bill us for $____________
See Donation Schedule.
(Applications are subject to review and approval by MSPE's
Executive Committee.)
Return to:
Missouri Society of Professional Engineers
200 E. McCarty, Suite 200
Jefferson City, Missouri 65101-3113
Phone (573) 636-4861 Fax (573) 636-5475
|
