National Capital Area Chapter of the U.S. Association for Energy Economics

Student Membership Application Form

Annual Student Membership Dues are $10.00

To become a Student Member please fill out the form below and bring it to the next NCAC event, along with your Student Identification Card.

Alternatively, you may mail the form, copy of your Student Identification Card, and your check to:

NCAC-USAEE Treasurer, Omar Cabrales

11904 Blackwood Court

Laurel, MD 20708
Phone: (202) 502-6710
Email: treasurer@ncac-usaee.org

NCAC-USAEE Student Membership registration/renewal is expected by the end of the preceding calendar year.
Annual Student Membership Dues are $10.00.
Please make checks payable to NCAC/USAEE.

2011 NCAC-USAEE Membership and Renewal Form
		I am applying for New Student Membership.
		I am a Renewing Student Member.
Name:
Address:
State and Zip:
Telephone:
FAX:
**Email:
		Provide the best email address** to receive the newsletter.
University or College:
Area of Concentration:

Yes No		I am interested in becoming more involved in NCAC-USAEE by serving on the Council.

Please list topics or speakers which most interest you: