Mitgliedsantrag 2015 neue Ver... - Gesellschaft für Tribologie eV

Gesellschaft für
Tribologie e.V.
Membership Application
I hereby apply for the membership in the
Society for Tribology e.V. (GfT) as a regular member.
Normal contribution for personal members: 50.00 € p.a.
Contribution for retirees: 30.00 € p.a.
Contribution for students: 15.00 € p.a.
Established membership in VDI, DGMK or ÖTG: 40.00 € p.a.
o
o
o
o
Name:
Academic and job title:
Date of birth:
Home address:
Work address:
Phone number:
Mobil number:
E-Mail:
Established membership in:
VDI: o
Correspondence address:
private: o
Place, date
DGMK: o
ÖTG: o
work: o
Signature
Gesellschaft für Tribologie e.V.
Löhergraben 33-35, 52064 Aachen, Germany
Telefon:(0241) 400 66 55
Telefax:(0241) 400 66 54
E-Mail: [email protected]
Internet: www.gft-ev.de