Ali Fant - New - 2012

Are you retired?: 
0
Personal Information
Salutation: 
Dr.
Gender: 
F
First Name: 
Ali
Last Name: 
Fant
Institutional Contact Information
Position: 
Scientist
Mobile Phone: 
512-698-7104
Email: 
a.fant@ieee.org
Highest Degree
Degree: 
Doctorate
Degree Status: 
Obtained
Degree-granting Institution: 
Nova Southeastern University
Field of Degree: 
Computer Science Education
Application Materials
Letter of Support: 
Previous Level: 
NA
Application Type: 
New
Membership Level Requested: 
Membership Year: 
2012
Journal
Journal: 
1
Send Correspondence to: 
Institutional Address
EBEA
Apply to EBEA: 
No
Office Use Only
Would you like to change your membership?: 
0
Payment Status: 
Binary Data
User Reference: 
Process Status: 
Do you contribute regularly as a professional to the area of bioelectromagnetics?: 
0
Are you a student?: 
1
Transaction
Transactions: 
mc_gross = 92.00 invoice = 6476 protection_eligibility = Eligible address_status = confirmed payer_id = YSM494XN3P3PC tax = 0.00 address_street = 13729 N Highway 183 STE 410 PMB 103 payment_date = 13:01:53 Sep 21, 2012 PDT payment_status = Completed charset = windows-1252 address_zip = 78750 first_name = Dr. Ali mc_fee = 2.97 address_country_code = US address_name = Dr. Ali Fant notify_version = 3.7 custom = Dues (FS - BEMS only), 40/nDelivery of printed journal (access to electronic version included), 52/nAccess to electronic (only) version of journal, 0/nVoluntary contribution (Student Awards), 0/nVoluntary contribution (Memorial Awards), 0/nIn memory of:, / payer_status = verified business = treasurer@bems.org address_country = United States address_city = Austin quantity = 1 verify_sign = AnNMT7nRteKS2auTkxdsRz9rRvvPAn9GKZSbqgIVUeAjX6Pe3FT0rtRS payer_email = a.fant@ieee.org txn_id = 66M37433NR132540X payment_type = instant last_name = Fant address_state = TX receiver_email = treasurer@bems.org payment_fee = 2.97 receiver_id = RRJNRY492LZ3C txn_type = web_accept item_name = Membership Dues mc_currency = USD item_number = 2012-6476-2459 residence_country = US handling_amount = 0.00 transaction_subject = Dues (FS - BEMS only), 40/nDelivery of printed journal (access to electronic version included), 52/nAccess to electronic (only) version of journal, 0/nVoluntary contribution (Student Awards), 0/nVoluntary contribution (Memorial Awards), 0/nIn memory of:, payment_gross = 92.00 shipping = 0.00 ipn_track_id = 43ec0f2874278
Amount Expected (USD): 
92.00
ItemDesc: 
(FS - BEMS only)
Delivery of Print Version (includes electronic access)
Access to Electronic Version (no print)
Voluntary contribution
Voluntary contribution
ItemPrice: 
40
52
0
0
0
ItemName: 
Dues
Journal (Print)
Journal (Electronic)
Student Fund
Memorial Fund
Memorial Awards Fund (USD): 
0
Current Form Step: 
17