AWS Membership
1
q New Member q Renewal q Mr. q Ms. q Mrs. q Dr. Please print • Duplicate this page as needed Last Name:_______________________________________________________________________________ First Name:___________________________________________________________________ M.I:_______ Birthdate: _____________________________ E-Mail:____________________________________________ Cell Phone ( )__________________________ Secondary Phone ( )______________________ Were you ever an AWS Member? q YES q NO If “YES,” give year________ and Member #:____________________ Company (if applicable):___________________________________________________________________ Address:________________________________________________________________________________ _______________________________________________________________________________________ City:_____________________________________State/Province:__________________________________ Zip/PostalCode:_____________________Country:______________________________________________ Who pays your dues?: q Company q Self-paid Sex: q Male q Female Education level: q High school diploma q Associate’s q Bachelor’s q Master’s q Doctoral q Check here if you learned of the Society through an AWS Member? Member’s name:_______________________Member’s # (if known):________ q CONTACT INFORMATION INDIVIDUAL MEMBERSHIP Type of Business (Check ONE only) A q Contract construction B q Chemicals & allied products C q Petroleum & coal industries D q Primary metal industries E q Fabricated metal products F q Machinery except elect. (incl. gas welding) G q Electrical equip., supplies, electrodes H qTransportation equip. — air, aerospace I qTransportation equip. — automotive J qTransportation equip. — boats, ships K qTransportation equip. — railroad L q Utilities M qWelding distributors & retail trade N q Misc. repair services (incl. welding shops) O q Educational Services (univ., libraries, schools) P q Engineering & architectural services (incl. assns.) Q q Misc. business services (incl. commercial labs) R q Government (federal, state, local) S q Other 01 q 02 q Manager, director, superintendent (or assistant) 03 q Sales 04 q Purchasing 05 q Engineer — welding 20 q Engineer — design 21 q Engineer — manufacturing 06 q Engineer — other 10 q Architect designer 12 q Metallurgist 13 q Research & development 22 q Quality control 07 q Inspector, tester 08 q Supervisor, foreman 14 qTechnician 09 qWelder, welding or cutting operator 11 q Consultant 15 q Educator 17 q Librarian 16 q Student 18 q Customer Service 19 q Other Technical Interests (Check all that apply) A q Ferrous metals B q Aluminum C q Nonferrous metals except aluminum D q Advanced materials/Intermetallics E q Ceramics F q High energy beam processes G q Arc welding H q Brazing and soldering I q Resistance welding J qThermal spray K q Cutting L q NDT M q Safety and health N q Bending and shearing O q Roll forming P q Stamping and punching Q q Aerospace R q Automotive S q Machinery T q Marine U q Piping and tubing V q Pressure vessels and tanks W q Sheet metal X q Structures Y q Other Z q Automation 1 q Robotics 2 q Computerization of Welding è Please check each box that applies to the Membership or service you’d like, and then add the cost together to get your Total Payment. q AWS INDIVIDUAL MEMBERSHIP (One Year)......................................................................................................$86 A wo Years SAVE $25 New Members Only....................................$147 q 2 1 $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e e F n o i t a i t i n I r e b m e M w e N OPTIONS AVAILABLE TO AWS INDIVIDUAL MEMBERS ONLY: A.) OPTIONAL Book Selection (Choose from 25 titles; up to a $192 value; includes shipping & handling) q Individual Members in the U.S..................................................................................................................................$35 q Individual Members outside the U.S (includes International shipping)...........................................................................$85 ONLY ONE SELECTION PLEASE. For more book choices visit www.aws.org/membership q (CD-ROM only) q q Welding Metallurgy Welding Handbook Selections: q WH (9th Ed., Vol. 4) q WH (9th Ed., Vol. 3) q WH (9th Ed., Vol. 2) q WH (9th Ed., Vol. 1) Pocket Handbook Selections: q PHB-1 (Arc Welding Steel) q PHB-2 (Visual Inspection) q PHB-4 (GMAW / FCAW) B.) OPTIONAL Welding Journal Hard Copy (for Members outside North America) q Individual Members outside North America (note: digital delivery of WJ is standard)..............................................$50 INDIVIDUAL MEMBERSHIP TOTAL PAYMENT..................................................................................$_____________ NOTE: Dues include $16.80 for Welding Journal subscription and $4.00 for the AWS Foundation. PAYMENT INFORMATION Payment can be made (in U.S. dollars) by check or money order (international or foreign), payable to the American Welding Society, or by charge card. q Check q Money Order q AMEX q Diners Club q MasterCard q Visa q Discover q Other CC#:____________ / ____________ / ____________ / ____________ Expiration Date (mm/yy) ________ / ________ Signature of Applicant:_________________________________________ Application Date:_______________________ OFFICE USE ONLY Check #:_______________________________ Account #____________________________________ Source Code: IT Date:_________________________________ Amount:_____________________________________ AWS MEMBERSHIP APPLICATION STUDENT MEMBERSHIP è Please choose your Student Membership option below. q AWS STUDENT MEMBERSHIP (One Year)...................................................................................................................$15 Digital delivery of Welding Journal magazine is standard for all Student Members. q AWS STUDENT MEMBERSHIP (One Year)...................................................................................................................$35 Includes one-year Welding Journal hard copy subscription. Option available only to students in U.S., Canada & Mexico. STUDENT MEMBERSHIP TOTAL PAYMENT......................................................................................$_____________ REV. 11/14 Join or Renew: Mail: Form with your payment, to AWS Call: Membership Department at (800) 443-9353, ext. 480 Fax: Completed form to (305) 443-5647 Online: www.aws.org/membership 8669 NW 36 St, # 130 Miami, FL 33166-6672 Telephone (800) 443-9353 FAX (305) 443-5647 Visit our website: www.aws.org
-
Upload
ipponosoto -
Category
Documents
-
view
214 -
download
0
description
Membership Form
Transcript of AWS Membership
q New Member q Renewalq Mr. q Ms. q Mrs. q Dr. Please print • Duplicate this page as needed
Last Name:_______________________________________________________________________________
First Name:___________________________________________________________________ M.I:_______
Birthdate: _____________________________ E-Mail:____________________________________________
Cell Phone ( )__________________________ Secondary Phone ( )______________________
Were you ever an AWS Member? q YES q NO If “YES,” give year________ and Member #:____________________
Company (if applicable):___________________________________________________________________
Address:________________________________________________________________________________
_______________________________________________________________________________________
City:_____________________________________State/Province:__________________________________
Zip/PostalCode:_____________________Country:______________________________________________
� Who pays your dues?: q Company q Self-paid � Sex: q Maleq Female� Education level: q High school diploma q Associate’s q Bachelor’s q Master’s q Doctoralq Check here if you learned of the Society through an AWS Member? Member’s name:_______________________Member’s # (if known):________q
CONTACT INFORMATION
INDIVIDUAL MEMBERSHIP
Type of Business (Check ONE only)A q Contract constructionB q Chemicals & allied productsC q Petroleum & coal industriesD q Primary metal industriesE q Fabricated metal productsF q Machinery except elect. (incl. gas welding)G q Electrical equip., supplies, electrodesH q Transportation equip. — air, aerospaceI q Transportation equip. — automotiveJ q Transportation equip. — boats, shipsK q Transportation equip. — railroadL q UtilitiesM q Welding distributors & retail tradeN q Misc. repair services (incl. welding shops)O q Educational Services (univ., libraries, schools)P q Engineering & architectural services (incl. assns.)Q q Misc. business services (incl. commercial labs)R q Government (federal, state, local)S q Other
01 q02 q Manager, director, superintendent (or assistant)03 q Sales04 q Purchasing05 q Engineer — welding20 q Engineer — design21 q Engineer — manufacturing06 q Engineer — other10 q Architect designer12 q Metallurgist13 q Research & development22 q Quality control07 q Inspector, tester08 q Supervisor, foreman14 q Technician09 q Welder, welding or cutting operator11 q Consultant15 q Educator17 q Librarian16 q Student18 q Customer Service19 q Other
Technical Interests (Check all that apply)A q Ferrous metals B q AluminumC q Nonferrous metals except aluminumD q Advanced materials/IntermetallicsE q CeramicsF q High energy beam processesG q Arc weldingH q Brazing and solderingI q Resistance weldingJ q Thermal sprayK q CuttingL q NDTM q Safety and healthN q Bending and shearingO q Roll formingP q Stamping and punchingQ q AerospaceR q AutomotiveS q MachineryT q MarineU q Piping and tubingV q Pressure vessels and tanksW q Sheet metalX q StructuresY q OtherZ q Automation1 q Robotics2 q Computerization of Welding
è Please check each box that applies to the Membership or service you’d like, and then add the cost together to get your Total Payment.
q AWS INDIVIDUAL MEMBERSHIP (One Year)......................................................................................................$86
A wo Years SAVE $25 New Members Only....................................$147
q 21$........................................................................................................................................... eeF noitaitinI rebmeM weN
OPTIONS AVAILABLE TO AWS INDIVIDUAL MEMBERS ONLY: A.) OPTIONAL Book Selection (Choose from 25 titles; up to a $192 value; includes shipping & handling)q Individual Members in the U.S..................................................................................................................................$35
q Individual Members outside the U.S (includes International shipping)...........................................................................$85
ONLY ONE SELECTION PLEASE. For more book choices visit www.aws.org/membership q (CD-ROM only) q q Welding Metallurgy Welding Handbook Selections: q WH (9th Ed., Vol. 4) q WH (9th Ed., Vol. 3) q WH (9th Ed., Vol. 2) q WH (9th Ed., Vol. 1) Pocket Handbook Selections: q PHB-1 (Arc Welding Steel) q PHB-2 (Visual Inspection) q PHB-4 (GMAW / FCAW)
B.) OPTIONAL Welding Journal Hard Copy (for Members outside North America)q Individual Members outside North America (note: digital delivery of WJ is standard)..............................................$50
INDIVIDUAL MEMBERSHIP TOTAL PAYMENT..................................................................................$_____________NOTE: Dues include $16.80 for Welding Journal subscription and $4.00 for the AWS Foundation.
PAYMENT INFORMATIONPayment can be made (in U.S. dollars) by check or money order (international or foreign), payable to the American Welding Society, or by charge card.
q Check q Money Order q AMEX q Diners Club q MasterCard q Visa q Discover q Other
CC#:____________ / ____________ / ____________ / ____________ Expiration Date (mm/yy) ________ / ________
Signature of Applicant:_________________________________________ Application Date:_______________________
OFFICE USE ONLY Check #:_______________________________ Account #____________________________________Source Code: IT Date:_________________________________ Amount:_____________________________________
AWS MEMBERSHIP APPLICATION
STUDENT MEMBERSHIPè Please choose your Student Membership option below.q AWS STUDENT MEMBERSHIP (One Year)...................................................................................................................$15
Digital delivery of Welding Journal magazine is standard for all Student Members.
q AWS STUDENT MEMBERSHIP (One Year)...................................................................................................................$35 Includes one-year Welding Journal hard copy subscription. Option available only to students in U.S., Canada & Mexico.
STUDENT MEMBERSHIP TOTAL PAYMENT......................................................................................$_____________
REV. 11/14
Join or Renew: Mail: Form with your payment, to AWS Call: Membership Department at (800) 443-9353, ext. 480
Fax: Completed form to (305) 443-5647 Online: www.aws.org/membership 8669 NW 36 St, # 130Miami, FL 33166-6672Telephone (800) 443-9353 FAX (305) 443-5647Visit our website: www.aws.org
