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AISTI Membership Commitment Form

Submitted by admin on Thu, 01/29/2009 - 15:03

Membership Type: *

Full

Associate

Corporate

Your Name: *

Your Title / Position: *

Primary Contact Name: *

Institution or Organization: *

Mailing Address: *

Country: *

Telephone: *

Fax:

E-mail Address: *

Institution/Department web site:

What are your expectations in regard to being part of AISTI?:

What collaborative projects would you like to work on?:

In what areas is your organization working with innovation?:

What are the areas of strength in your organization?:

Who would be the primary beneficiaries of the AISTI membership?:

Who would you send to the AISTI quarterly Board of Directors meeting?:

Is there anything else we should know about your organization?:

contact AISTI
tel: 888.901.4144
fax: 888.555.4444
email: info@aisti.org