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TSEA MEMBERSHIP APPLICATION (copy page , complete, and return to address below) Dues
are due October 1.
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MEMBERSHIP CODE (Check one) |
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( )
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Regular Member
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$20.00
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( )
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Student, elderly/retired, low income/living lightly
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$12.00
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( )
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Institutional/corporate member
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$50.00
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( )
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Supporting Member
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$100.00
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( )
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Sustaining Member
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$200.00
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( )
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Life member
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Inquire about rates
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AMOUNT ENCLOSED ___________________
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DATE_______________
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Name _______________________________________
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E-mail Address____________________________
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Address______________________________________
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____________________________________________ |
County __________________
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| Home
Phone_____________________________ |
Business
Phone____________________
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AFFILIATE ORGANIZATIONS -
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American Solar Energy Society_______
Other___________________
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FIELDS OF INTEREST (Check two) |
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( ) 01 |
Collection Technology
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( ) 08 |
Photovoltaics
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( ) 15
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Architecture
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( ) 02
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Domestic Hot Water
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( ) 09
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Thermal Electric Power
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( ) 16
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Materials
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( ) 03
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Industrial Process
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( ) 10
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Space Heating
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( ) 17
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Economics
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( ) 04
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Liquid Systems
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( ) 11
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Solar Refrigeration
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( ) 18
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Political Process
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( ) 05
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Air Systems
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( ) 12
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Dehydration
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( ) 19
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Education
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( ) 06
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Passive Systems
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( ) 13
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Distillation
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( ) 20
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Other____________
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( ) 07
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Energy Storage
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( ) 14
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Agriculture
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( ) 21
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Other____________
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PROFESSIONAL CATEGORY (Check one)
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( ) 01
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Physicist
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( ) 05
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Chemist
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( ) 09
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Educator
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( ) 13
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Consultant
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( ) 02
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Biologist
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( ) 06
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Legal
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( ) 10
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Student
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( ) 14
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Farmer
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( ) 03
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Engineer
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( ) 07
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Contractor
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( ) 11
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Research
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( ) 15
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Financier
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( ) 04
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Architect
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( ) 08
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Manager
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( ) 12
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Medical
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( ) 16
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Other______________
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SOLAR APPLICATIONS IN YOUR HOME OR BUSINESS ____________________________________
____________________________________________________________________________________
SERVICES YOU WOULD LIKE FROM TSEA ______________________________________________
____________________________________________________________________________________
MAIL APPLICATION TO:
TENNESSEE SOLAR ENERGY ASSOCIATION
MTSU BOX 57
1301 EAST MAIN STREET
MURFREESBORO, TN 37132
TSEAAPPL 2/23/99
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