IFSA Membership Form

Title: 
  
Name: 
  
Company: 
  
Country:
 
City:
  
Address:
  
ZIP code:
  
Phone: 
  
Fax:
  
E-mail:  

Http://
 
Interest:
 
Acoustic Sensors	[ ]
Biosensors		[ ]
Chemical Sensors	[ ]
Flow Sensors		[ ]
Gas Sensors		[ ]
Humidity Sensors	[ ]
Magnetic Sensors	[ ]
Mechanical Sensors	[ ]
Optical Sensors		[ ]
Pressure Sensors	[ ]
Proximity Sensors	[ ]
Resonant Sensors	[ ]
Rotation Sensors	[ ]
Temperature Sensors	[ ]
Ultrasonic Sensors	[ ]
Sensor Instrumentation	[ ]
Others			[ ]

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Please return this form by fax, e-mail or surface mail to:

Dr. Sergey Y. Yurish,
IFSA Vice President
Bandera str., 12,
290013, Lviv, UA
Fax: +380 322 97 16 41
E-mail: syurish@mail.icmp.lviv.ua