JESNY Logo   JE Stamp

Home

 

MEMBERSHIP APPLICATION
or
CHANGE OF ADDRESS-INFORMATION FOR EXISTING MEMBERS

FIRST NAME *
FAMILY NAME *
TITLE/OCCUPATION
ADDRESS *
CITY *
ZIP-CODE *
STATE (USA)
COUNTRY *
TELEPHONE
E-MAIL
MEMBERSHIP DUES *  
Additional Information,
Where did you learn about John Ericsson Society?

*) mandatory information

The annual dues shall be paid in January for the calendar year.

      

Please mail check payable to "John Ericsson Society"

to:
John Ericsson Society, New York
Church of Sweden
5 East 48th Street
New York, New York 10017
USA