MSUG - Membership Registration Form

Member Information

Date 

New Member      Member Since  Qtr:

NAME   

Job Title      

Company

Department 

WORK

Mailing Address
City
State	Zip
Email
Telephone	Fax

                                               HOME

Mailing Address
City
State	Zip
Email
Telephone	Fax

  EXPERIENCE

Simulation Modeling Experience (years)

< 1  1 - 2   3 - 5  6 - 10  >10

Simulation Language(s) Experience:

AutoMod	ProModel	SimFactory
Factor/Aim	QUEST	SIMUL8
GPSS	ServiceModel	SLAM/SlamSystem
IThink	SIMAN/ARENA	Taylor ED
MedModel	Other	WITNESS

Industry:

Automotive	Furniture	Manufacturing
Durable Goods	Health Care	Retail
Education	Insurance	Steel
Financial	Machine Tool	Transportation
Food	Other

Note:  Print and postal-mail your application with payment to:

Marcelo Zottolo

PMC-Dearborn

15726 Michigan Ave

Dearborn, MI 48126

For faster membership processing with credit card payment, simply call Marcelo at:

(313) 441-4460 x1208