LIA Individual Membership

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1 LIA Become part of the worldwide laser information and applications society. Laser Safety & Applications

2 Complimentary subscription to the peer reviewed Journal of Laser Applications which includes free Complimentary subscription to, our bi-monthly newsletter delivered via or mail (ICALEO ), the and the Pacific International Conference Access to timely information, resources and opportunities in the laser industry Networking opportunities that include live events such as conferences and regional meetings Career enhancement courses and seminars to enhance and expand knowledge in the laser field Pacific International Conference We also offer student, retired and life individual memberships s must be full time and show proof of enrollment members should be longstanding (minimum members are entitled to all benefits above throughout their lifetime Medical Laser Safety Officer This course Laser Safety Officer This course is designed to provide Fundamentals of Laser Safety This course is a nonmathematical, intuitive framework for understanding the Advanced Concepts in Laser Safety This course is Laser Safety in the Lab This course was designed to The LIA is the secretariat and publisher of the Z136 series of Laser Hazard Evaluator Software LASIM - Training and Simulation CD for Laser Cutting & Welding LIMITS for Industrial Laser Safety - Interactive CD Training LIMITS for Medical Laser Safety - Interactive CD Training Mastering Light Video - An Introduction to Laser Safety (Video, DVD and PAL) Medical Laser Application Training CD for Physicians/ Technicians/Nurses LIA Laser Safety Guide LIA Guide for the Selection of Laser Eye Protection LIA Guide to Non-Beam Hazards Associated with Laser Use LIA Guide to Laser Cutting LIA Guide to Laser Materials Processing LIA Laser Safety Manual is published bi-monthly and strives to educate and inform laser professionals on laser safety and new trends related to laser technology.all LIA members receive a free subscription to the.we welcome input from our readers in the Industrial Lasers & Safety Online Training This online Laser Safety in Educational Institutions Online This On-site the LIA can be brought CLSO - Online Review and Practice Examination

3 Complimentary subscription to the peer reviewed Journal of Laser Applications which includes free Complimentary subscription to, our bi-monthly newsletter delivered via or mail (ICALEO ), the and the Pacific International Conference Access to timely information, resources and opportunities in the laser industry Networking opportunities that include live events such as conferences and regional meetings Career enhancement courses and seminars to enhance and expand knowledge in the laser field Pacific International Conference We also offer student, retired and life individual memberships s must be full time and show proof of enrollment members should be longstanding (minimum members are entitled to all benefits above throughout their lifetime Medical Laser Safety Officer This course Laser Safety Officer This course is designed to provide Fundamentals of Laser Safety This course is a nonmathematical, intuitive framework for understanding the Advanced Concepts in Laser Safety This course is Laser Safety in the Lab This course was designed to The LIA is the secretariat and publisher of the Z136 series of Laser Hazard Evaluator Software LASIM - Training and Simulation CD for Laser Cutting & Welding LIMITS for Industrial Laser Safety - Interactive CD Training LIMITS for Medical Laser Safety - Interactive CD Training Mastering Light Video - An Introduction to Laser Safety (Video, DVD and PAL) Medical Laser Application Training CD for Physicians/ Technicians/Nurses LIA Laser Safety Guide LIA Guide for the Selection of Laser Eye Protection LIA Guide to Non-Beam Hazards Associated with Laser Use LIA Guide to Laser Cutting LIA Guide to Laser Materials Processing LIA Laser Safety Manual is published bi-monthly and strives to educate and inform laser professionals on laser safety and new trends related to laser technology.all LIA members receive a free subscription to the.we welcome input from our readers in the Industrial Lasers & Safety Online Training This online Laser Safety in Educational Institutions Online This On-site the LIA can be brought CLSO - Online Review and Practice Examination

4 Complimentary subscription to the peer reviewed Journal of Laser Applications which includes free Complimentary subscription to, our bi-monthly newsletter delivered via or mail (ICALEO ), the and the Pacific International Conference Access to timely information, resources and opportunities in the laser industry Networking opportunities that include live events such as conferences and regional meetings Career enhancement courses and seminars to enhance and expand knowledge in the laser field Pacific International Conference We also offer student, retired and life individual memberships s must be full time and show proof of enrollment members should be longstanding (minimum members are entitled to all benefits above throughout their lifetime Medical Laser Safety Officer This course Laser Safety Officer This course is designed to provide Fundamentals of Laser Safety This course is a nonmathematical, intuitive framework for understanding the Advanced Concepts in Laser Safety This course is Laser Safety in the Lab This course was designed to The LIA is the secretariat and publisher of the Z136 series of Laser Hazard Evaluator Software LASIM - Training and Simulation CD for Laser Cutting & Welding LIMITS for Industrial Laser Safety - Interactive CD Training LIMITS for Medical Laser Safety - Interactive CD Training Mastering Light Video - An Introduction to Laser Safety (Video, DVD and PAL) Medical Laser Application Training CD for Physicians/ Technicians/Nurses LIA Laser Safety Guide LIA Guide for the Selection of Laser Eye Protection LIA Guide to Non-Beam Hazards Associated with Laser Use LIA Guide to Laser Cutting LIA Guide to Laser Materials Processing LIA Laser Safety Manual is published bi-monthly and strives to educate and inform laser professionals on laser safety and new trends related to laser technology.all LIA members receive a free subscription to the.we welcome input from our readers in the Industrial Lasers & Safety Online Training This online Laser Safety in Educational Institutions Online This On-site the LIA can be brought CLSO - Online Review and Practice Examination

5 INDIVIDUAL MEMBERSHIP APPLICATION Mr. Ms. Mrs. Dr. Prof. Name: Title: Organization: Address: City: State: Zip: Country: Phone: Fax: Website: Industry: Automotive Government /Military Optical Components Manufacturer Communications Job Shop Research Facility Consultant Laser Manufacturer / System Builder Society / Trade Association Education K-12 Laser Parts & Accessories Manufacturer University / College Eyewear Manufacturer Medical Facility Other Applications and Interests: Communications Medical Laser User Scientific Entertainment or Outdoor Research and Development Industrial Laser User Safety : Method of Payment: Automatic annual charge when future membership fees are due YES NO Amount $ Check or Money Order enclosed VISA MC AMEX Card Number Expiration Date Authorized signature LIA Contact Consent Agreement Form Fax: Yes No Yes No I understand that by providing my mailing address, address, telephone number, and fax number, I consent to receive communications sent by or on behalf of the Laser Institute of America (LIA).I understand that in accordance with their Privacy Statement,LIA will not share my phone, fax, or address with a non-related third party without my prior written authorization, as expressed in the Telephone Consumer Protection Act and all subsequent revisions. Further, I understand that I can revoke this consent by contacting LIA in writing and allowing them 90 days to change my status with all subsidiaries and agents with whom they contract. I agree that my name which is included on this application affirms my consent. Send to: Laser Institute of America Ingenuity Drive, Suite 128 Orlando, FL Phone: (407) Fax: (407) membership@laserinstitute.org IM0805

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