Supporting member

1. WSG Supporting Company Member Application
COMPANY INFORMATION:
Company Name:
Business Address:
Business Phone: FaxNumber: EmailAddress:
Website:
Type of Business:
□ WELDING MANUFACTURER □ WELDINGFABRICATOR □WELDING CONSTRUCTIONCONTRACTOR
□ EDUCATIONALINSTITUTION □ OTHER
NAME OF OFFICIAL COMPANY REPRESENTATIVE:
SPONSOR NAME:
MEMBERSHIP DUES
Duesare ₵1,740.00, plus a one-time ₵100.00 initiationfee pereachmember forSupporting MemberCompanies.
DUES SCHEDULE
Fee
One-Year Membership ₵1,740
First-time Initiation Fee* (*new members only) ₵500
TOTALPAYMENT ₵2,240.00
PAYMENT
□ My checkmade outtotheWeldingSociety of Ghana,is enclosed. BankName: ________________________________
ChequeNo. ______________________________
□ I havemadepaymenttotheWSG FidelityBankaccount No. ________________________________Copyofpayingslip attached
Signature of Applicant: Application Date: ___________
Source Code: _________________
PAYMENT INFORMATION (REQUIRED)

2. WSG Individual Member Application
WSG Supporting CompanyMembers are entitled to have 5 Individual Memberships for their employees or customers. Additional
individuals may beaddedto your company’smembership roster for an additional chargeof ₵350 per member. Pleasefeel free to
make copiesof the Individual Membership Application as necessary.
(1) Official Company Representative
Note: Thedesignated companyrepresentative will bethe person contactedin regard tomatters related toyour company’s membership,including roster
Changes andthe annual duesnotice.
□ Mr. □ Mrs. □ Ms. □ Dr. JobTitle: Date of Birth:
LastName: FirstName: MiddleInitial:
Address:
Cell Phone: Secondary Phone:
Fax Number: Email Address:
Typeof Business (Check ONEonly)
A □ Contract construction
B □ Chemicals& allied products
C □ Petroleum & coalindustries
D □ Primary metal industries
E □ Fabricatedmetal products
F □ Machinery exceptelect.(incl. gaswelding)
G □ Electrical Equip.,supplies, electrodes
H □Transportation Equip.—automotive
I □Transportation Equip.—boats,ships
J □Transportation Equip.—railroad
K □ Utilities
L □Welding distributors& retail trade
M □ Misc.repair services (incl. welding shops)
N □ Educational Services (univ., libraries,
Schools)
O □ Engineering & architectural services(incl.
associations)
P □ Misc.businessservices (incl. commercial
labs)
Q □ Government (Ministries,Departments,
Agencies)
R □ Other
Job Classification (Check ONEonly)
01 □ Chairman,owner,partner,officer
02 □ Manager, director,superintendent (or
assistant)
03 □ Sales
04 □ Purchasing
05 □ Engineer —welding
20 □ Engineer —design
21 □ Engineer —manufacturing
06 □ Engineer —other
10 □ Architect designer
12 □ Metallurgist
13 □ Research& development
22 □ Qualitycontrol
07 □Inspector,tester
08 □ Supervisor,foreman
14 □Technician
09 □Welder,welding or cutting operator
11 □ Consultant
15 □Educator
17 □ Librarian
16 □ Student
18 □ CustomerService
19 □ Other
Technical Interests (Checkall that apply)
A □ Ferrous metals
B □ Aluminum
C □ Nonferrousmetals exceptaluminum
D □ Advanced materials/Intermetallic
E □ Ceramics
F □ Highenergy beam processes
G □ Arc welding
H □ Brazing andsoldering
I □ Resistance welding
J □Thermal spray
K □Cutting
L □ NDT
M □Safety andhealth
N □Bending andshearing
O □ Rollforming
P □ Stamping and punching
Q □ Aerospace
R □ Automotive
S □ Machinery
T □ Marine
U □ Piping andtubing
V □Pressure vessels andtanks
W □ Sheet metal
X □Structures
Y □ Other
Z □ Automation
1 □ Robotics
2 □ ComputerizationofWelding

3. (2) Individual Member
□ Mr. □ Mrs. □ Ms. □ Dr. JobTitle: Date of Birth:
LastName: FirstName: MiddleInitial:
Address:
Cell Phone: Secondary Phone:
Fax Number: Email Address:
(Enterappropriate letters ornumbersfrom listings providedonfirst page ofthe WSGIndividual Member Application. Note:This must befilled out.)
TypeofBusiness: Job Classification: TechnicalInterests:
(3) Individual Member
□ Mr. □ Mrs. □ Ms. □ Dr. JobTitle: Date of Birth:
LastName: FirstName: MiddleInitial:
Address:
Cell Phone: Secondary Phone:
Fax Number: Email Address:
(Enterappropriate letters ornumbersfrom listings providedonfirst page ofthe WSGIndividual Member Application. Note:This must befilled out.)
TypeofBusiness: Job Classification: TechnicalInterests:
(4) Individual Member
□ Mr. □ Mrs. □ Ms. □ Dr. JobTitle: Date of Birth:
LastName: FirstName: MiddleInitial:
Address:
Cell Phone: Secondary Phone:
Fax Number: Email Address:
(Enterappropriate letters ornumbersfrom listings providedonfirst page ofthe WSGIndividual Member Application. Note:This must befilled out.)
TypeofBusiness: Job Classification: TechnicalInterests:

4. (5) Individual Member
□ Mr. □ Mrs. □ Ms. □ Dr. JobTitle: Date of Birth:
LastName: FirstName: MiddleInitial:
Address:
Cell Phone: Secondary Phone:
Fax Number: Email Address:
(Enterappropriate letters ornumbersfrom listings providedonfirst page ofthe WSGIndividual Member Application. Note:This must befilled out.)
TypeofBusiness: Job Classification: TechnicalInterests: