ManSEA Membership form 2021
The purpose of this form is to obtain Member contact information as well as an indication of Member interests. The information you provide will assist ManSEA in meeting your needs as a ManSEA Member.
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Email *
Last Name *
First Name *
Organization
Title
Phone # *
Address *
Postal Code *
Membership category (please check category) *
Required
Please indicate your areas of interest by checking the boxes.  You can check more than one.
Sustainable Energy Areas of Interest to Me
Please provide any additional comments or information
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