Student Membership Application

The following information is required to have the PDE Board of
Directors consider your application for membership in the PDE.
Name:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Email:
University Affiliation:

Company University Course of Study Information

As applicable, describe key product line(s) or service(s) provided or course of study for student
applicants:

Interest in the PDE

Please state why you are interested in joining the PDE:
 
 

Yearly membership dues are:
$25 Student
payable to “PDE” and will be billed after membership approval.