1999 ASME STUDENT DESIGN CONTEST
Letter of Intent to Enter

Due two weeks before your Regional Student Conference (RSC)
(Contact your Regional Office for the date)
Region XIII--must be postmarked on or before March 15, 1999
--send to Region XIII Office, Three Park Avenue, New York, NY  10016-5990
--copy to Dr. Gad Hetsroni, VP, Region XIII, Technion, Mech Engr. Dept , Haifa 32000, Israel
 

FROM (Student Section): _____________________________________________

STUDENT SECTION NUMBER: ______________________________________

FACULTY ADVISOR:  ______________________________________________

DEVICE NAME: _______________________________________________

TEAM MEMBER INFORMATION:

NAME: ________________________________________________

ASME MEMBER #: ________________________________________________

SSN#: ________________________________________( Required if US Citizen)

NAME: ________________________________________________

ASME MEMBER #: ________________________________________________

SSN#: ________________________________________( Required if US Citizen)

NAME: ________________________________________________

ASME MEMBER #: ________________________________________________

SSN#: ________________________________________ ( Required if US Citizen)

NAME: ________________________________________________

ASME MEMBER #: ________________________________________________

SSN#: ________________________________________ ( Required if US Citizen)

 
 
I/We are planning to enter a device in the Student Design Contest.

I/We can be contacted at:

NAME: _______________________________________________

PERMANENT MAILING ADDRESS:

_______________________________________________

_______________________________________________

_______________________________________________

TELEPHONE NO: _________________________

FAX NO: ________________________

E-MAIL ADDRESS: __________________________________________________________

 
 
 
Mail, FAX, or e-mail information to your ASME Regional Office.