The document contains an application for a sustaining company membership to the Welding Society of Ghana (WSG). It requests company information and payment details. As part of the membership, companies can designate 10 individual members from their employees or customers by filling out additional applications with their contact details and selecting options for type of business, job classification, and technical interests.

1. WSG Sustaining 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 ₵3,480.00, plus a one-time ₵3,000.00 initiationfee forSustainingMemberCompanies.
DUES SCHEDULE
Fee
One-Year Membership ₵3,480
First-time Initiation Fee* (*new members only) ₵3,000
TOTALPAYMENT ₵6,480.00
PAYMENT
□ My checkmade outtotheWeldingSociety of Ghana,is enclosed. BankName: ________________________________
ChequeNo. ______________________________
□ I havemadepaymentto theWSG FidelityBankaccount No. ________________________________ □Copyofpay-inslipattached
Signature of Applicant: Application Date: ___________
Source Code: _________________

2. WSG Individual Member Application
WSG Sustaining CompanyMembers are entitled to have 10 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:
(6) 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:
(7) 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:

5. (8) 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:
(9) 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:
(10) 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: