Download - AWS Membership

Transcript

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......................................................................................$_____________

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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