ASHRAE Journal - February 2009 - (Page A38) ASHRAE MEMBERSHIP APPLICATION Save time and apply online at www.ashrae.org. Create a login first and select Join Now! c Mr. c Miss c Ms. c Mrs. c Dr. Birth / / (Month) (Day) (Year) Name (First) (Middle) (Last) (Designation) Primary Address Alternate Address Company Name Company Name Address Address City State/Province City State/Province Z ip/Postal Country ip/Postal Country Z This is a c Home address c Business address This is a c Home address c Business address E-mail Alternate E-Mail Telephone Fax ASHRAE protects contact information provided by its members and customers. To view ASHRAE’s Privacy Policy visit www.ashrae.org/privacypolicy. Occasionally we make our mailing list available, under proper safeguard, for direct mail purposes. If you DO NOT wish to receive these mailings, please check here: c ASHRAE Society dues include $6 (USD) for the ASHRAE Journal. This amount is not deductable from membership dues. I would like to apply for the following grade: c Member — $165 c Associate Member — $165 c Affiliate Member — $40 I would like to reinstate my previous membership: Previous member number Previous member grade Previous election date To receive your subscription to the ASHRAE Journal, please answer the following questions by entering the appropriate codes in the spaces provided. Which best describes your firm? 11-Consulting Engineering 12-Architect/Architectural & Eng Services 15-Design/Build 21-Contractor 26-Property Mgmt & Dev 31-Industrial Facility 41-Commercial Facility 42-Government, Healthcare, Education 43-Utility 51-Manufacturer/HVAC&R Equipment 61-Manufacturer’s Representative 62-Sales Engineering 71-Wholesaler or Distributor 83-Library 84-Technical, Professional or Trade Association 86- Student 91-Other (Please Specify) Members and Associate Members receive an ASHRAE Handbook each year as part of the membership package. Please indicate your Handbook Preference here: Handbook Type: c I-P (inch/pound units); c SI (metric units); c CD (I-P & SI) To find out more about ASHRAE member grades and their corresponding benefits, visit the Membership section of www.ashrae.org. This section is required only if you are applying for Member Grade. Associate and Affiliate applicants do not need to complete this section. Educational Record Technical Institute: College or University: Graduate Study: Qualifying Work Experience List present affiliation first. List each major responsibility separately. Use additional sheets or attach a resume if necessary. Which best describes your title? B-President C-Partner D-Associate E-Owner F-Vice President G-Vice President Eng, Chief Engineer K-Design Engineer, Designer L-Project/Application Engineer O-Facility Engineer/Manager P-Research/Development Engineer R-Sales Engineer/Sales S-Purchasing Agent T-Draftsperson U-Estimator W-Technician X-Professor/Instructor Y-Student Z-Librarian ZZ-Other (Please Specify) Professional Engineering Registration License Number Date Issued Field of Registration Principal Location of Registration Method of Payment c Visa c Mastercard c Check or money order c American Express c Diner’s Club Enclosed Amount (Checks must be payable to ASHRAE in US funds drawn from a US bank.) Card # Expiration Date / (Month) (Year) Signature Which best describes your function? 1-Design/Application 2-Manufacturing 3-Maintenance/Operations 4-Management 5-Sales 6-Research 7-Teaching 8-Other (Please Specify 38 MAIL OR FAX BACK COMPLETED FORM ALONG WITH APPROPRIATE FEES TO: American Society of Heating, Refrigerating and Air-Conditioning Engineers, Inc. 1791 Tullie Circle NE, Atlanta, GA 30329 Phone: 1-800-527-4723 (U.S and Canada) • 404-636-8400 (world-wide) Fax: 404-321-5478 www.ashrae.org http://www.ashrae.org http://www.ashrae.org/privacypolicy http://www.ashrae.org http://www.ashrae.org
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