Membership Form

Association of Industrial Microwave Heating and High Frequency Applications (AIMHHA) Membership Application Form

Title

First Name

Last Name

Professional Title/Position

Organization/Company:

Department/Division

Email Address (Primary):

Email Address (Secondary):

Phone Number (Work):

Mobile Number (Mobile):

Street Address

City

State/Province

Postal/Zip Code:

Country

Website/LinkedIn Profile UR

Area(s) of Expertise in Microwave/High Frequency Applications: (Check all that apply)

Other (Please specify):

Years of Experience in Microwave/High Frequency Applications

Highest Educational Qualification:

Publications/Patents (Brief Summary):

Membership in other Professional Organizations

What are your primary interests in joining AIMHHA?

How did you learn about AIMHHA?

Membership Type:

Individual Corporate Student Emeritus

(Please refer to the AIMHHA website or contact us for the current fee structure.)

For Corporate Members:

Company Representative (Contact Person):

Number of Employees to be Included in Corporate Membership: