International Marine Simulator Forum Application for Membership

This application is a property of the IMSF and cannot be changed or edited apart from the entries in the application form.

  Name of organization ____________________________________________
  Permanent address for mail from the Forum

                       ________________________________________________________

                       ________________________________________________________

                       ________________________________________________________

  Name of representative  _______________________________________________
  State your specific interest in marine simulation.

                      _________________________________________________________

                      _________________________________________________________

                      _________________________________________________________

  Telephone: __________________________   Telefax: _______________________

  Email: ______________________________

  If accepted for membership in the IMSF at the next meeting in the Forum, I hereby agree to abide by its Constitution, rules, and By-Laws.

  Signature _____________________________________   Date:________________

  Position   ___________________________________________________________

Please fax or mail application to:
Chairman, International Marine Simulator Forum
Dr. Jacek S. Pawlowski
Marine Institute
155 Ridge Rd. P.O. Box 8454
St. John’s, NF, A1B 3N9
CANADA
+1 709 579 0495 FAX
Email:  imsf@oarmo.nf.ca
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