Application

Individuals not now members of the Association but currently engaged in consulting practice as chemists or chemical engineers, are encouraged to apply for membership. Please complete each section of the form below. A blank entry will signify that this item does not apply to applicant.

DUES – $75 a year, payable October 1st.
This covers the yearly dues for both regular and affiliate members. This fee includes a copy of the Constitution and By-Laws and the regular member’s individual web directory page on our searchable web site directory. and includes any profile marketing that the Council approves each year.

    PERSONAL INFORMATION:

    Full Name (required)

    Home Address

    City

    State

    Country

    Postal Code

    Home Phone

    CONSULTING PRACTICE OR COMPANY:

    Starting Date of Consulting

    Name of Practice

    Address

    City

    State

    Country

    Postal Code

    Phone

    Fax

    Email (required)

    Web

    Laboratory, Facilities and, Equipment
    (major items)

    Education:

    Institution(s), Location(s), Date(s), Degree(s)

    Experience:

    Organization(s), Location(s), Date(s), Position(s)

    PATENTS AND PUBLICATIONS:

    SOCIETY MEMBERSHIPS:

    DIRECTORY LISTINGS:

    PROFESSIONAL CERTIFICATIONS AND LICENSES:

    PROFESSIONAL AND TECHNICAL REFERENCES:

    How Did You Learn About ACC&CE? If Internet search, then what key word or phrase? Name of referrer?

    Please enter the numbers below:
    captcha

    Home | About ACC&CE | Referral Service | Find a Consultant | Speakers | Contact Us