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Become an ASI Fellow |
If you believe you are qualified to become an ASI Fellow, or you know of someone who is qualified and should be considered, print, fill out and mail the form below to the form below. Forward the Biography/ Resume of the proposed ASI Fellow.
African Scientific
Institute Fellow I, ______________________ hereby wish to be an ASI
Fellows
Name _______________________________________ Address ____________________________________________ City _______________________ State _________ Zip ________ Phone (_______) ______________________________ Date ______________ email: ______________________________ Mail To: ASI Fellows P.O. Box 12161
OR I, __________________________________, (_____)
_____________,
hereby wish the following individuals be considered for
induction African Scientific Institute Fellow. Name ____________________________________________ Address __________________________________________ City ______________________ State _________ Zip ____ Phone (_______) ______________________________ ----------------------------------------------------------------------- Name ___________________________________________ Address _________________________________________ City _______________________State _________ Zip_____ _________ Phone (_______) ______________________________ --------------------------------------------------------------------- Name ___________________________________________ Address ____________________________________________ City ______________________ State _________ Zip ________ Phone (_______) ______________________________ Mail To: ASI Fellows P.O. Box 12161 |