3D-BASIS: Membership Application Form

Membership Application Form

Commercial::Foreign

Date: ________________________________________
From:

To:
Prof. A.M. Reinhorn
University at Buffalo Foundation
231 Ketter Hall
Dept. of Civil Engineering
University at Buffalo
Buffalo, New York 14260
email: reinhorn@buffalo.edu

1. Membership in the 3D-BASIS Users Group (including latest distributed version of computer program 3D-BASIS)	$600.00
2. Product support and handling	$25.00

Total = $625.00

Please print the invoice and mail it along with the check.Do not write anything else on the check (no address, and no memo or other attention). Please make checks payable to: University at Buffalo Foundation

Please supply the following information:

Preferred user ID:	________________________________________
Full Name:	________________________________________
Email Address:	________________________________________