SSA Membership Request Form SSA Membership Request Form

Schlumberger Spouse Information

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This field is mandatory.
This field is mandatory.

Schlumberger Employee Information

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This field is mandatory.
This field is mandatory.
This field is mandatory.

Home Address

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Contact Numbers

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Privacy Information

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Miscellaneous

Children's Information

Skills and Hobbies

Local SSA Information

What events do you usually attend?

SSA Board Information

Comments

Photo Release Statement

“I hereby agree that by accepting membership in the SSA, I specifically authorize the SSA to reproduce, represent and utilize images (both video and photograph) that have been taken of me or my minor children, in any non-commercial publications, online content and social media directly or indirectly related to the SSA. Additionally, in consideration for membership in the SSA, I release and discharge Schlumberger from any and all liability, claims and demands that may arise out of or in connection with the use of the images contemplated herein.”

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