This document is an invoice and membership renewal notice from the American Chemical Society (ACS) to Dr. Amgad Mohammed Rabie Hamed Fouda. It provides his member number, years of service, and details his current ACS associate membership for the period of April 13, 2016 to April 12, 2017 at a cost of $162. It requests that he renew his membership by making a payment by May 13, 2016 and provides instructions on how to do so.

1. Dr Amgad Mohammed Rabie Hamed
Fouda, Sr
16 Magliss El-Madina Street
Dikernis City, Dikernis 35753 Dakahlia
Governorate
Egypt
MEMBERSHIP & SUBSCRIPTION INFORMATION
NOTICE NUMBER INVOICE DATE PLEASE PAY BY
16529898 04/13/2016 05/13/2016
MEMBER NUMBER YEARS OF SERVICE TO DATE
31010793 0
Renew your ACS Membership online today at www.acs.orgacsdues
American Chemical Society
Effort: 0Attention Dr Amgad Mohammed Rabie Hamed Fouda, Sr below is your record of membership and subscription.
Questions about your renewal? Call us at:
1-800-333-9511 or 614-447-3776
Fax: 614-447-3671
E-mail: service@acs.org
P.O. Box 182426, Columbus, OH 43218-2426
Review your current information below.
Indicate any changes/corrections you wish to make.
Make a copy for your records.
Return this entire form with payment.
INVOICE PO NUMBER
Product
Code
Product Description Period/Start Issue Amount Tax
Amount
Shipping
Amount
Total
AME Associate Member Dues C&EN-
Electronic
04/13/16-04/12/17 $162.00 $0.00 $0.00 $162.00
6300 Chemical and Engineering News 04/13/16-04/12/17 $0.00 $0.00 $0.00 $0.00
Total Amount $162.00 $0.00 $0.00 $162.00
RECORD NEW ADDITIONS HERE FOR YOUR RECORDS
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REVISED TOTALS: ___________
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AMERICAN CHEMICAL SOCIETY P.O. Box 182426, Columbus, OH 43218-2426
Check Purchase Order Exp.DateVisa/MC,Amex,Diners Club ________
P.O. or Card No.
Name on Card
Signature
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Record new additions
ID PUBLICATION/DIVISION AMOUNT
NEW
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___________________TOTAL FOR ADDITIONS
Effort: 0PAID YEARS OF SERVICE: 0 Page 1
Delete Your Name From ACS External Mailing List
amgadpharmacist1@yahoo.comE-mail address
NOTICE NUMBER: 16529898MEMBER NUMBER: 31010793
Update e-mail if necessary
AM XX 00165298980 00 00162003
Revised Total Enclosed
ACS Endowment
IUPAC Affiliation
Membership Programs
Project Seed
Total New Additions
Total Amount Due: $162.00
Total Amount Paid: $0.00
Dr Amgad Mohammed Rabie Hamed Fouda, Sr
16 Magliss El-Madina Street
Dikernis City, Dikernis 35753 Dakahlia Governorate
Egypt