| Please print this application (best printed
in landscape mode) and mail it
with your check or credit card info: American Institute of Engineers, Inc.
4630 Appian Way
Suite 206
El Sobrante, CA 94803 Major AIE Projects (2006):
- Produce "LA Engineers", LAE;
- Widespread use of "Open Mind" logo;
- Membership growth.
|
 American Institute of
Engineers, Inc.
Membership Application
Name: ____________________________________
Residence: _________________________________
City: ______________________________________
County: ____________________________________
State: ____________Zip: ______________________
Residence Telephone: _________________________
Fax Number: ________________________________
Email: _____________________________________
Please check one or more:
c
This is an investment
c
This is a new membership.
c
This is a membership renewal.
Technical Disciplines: __________________________
Highest Degree: ______________________________
I know every investment helps .I am adding my support with a:
Member or Fellow Investment
c 1 year -$100.00
c 3 years - $250.00 (save $50.00)
Supporting Investment - $300.00
Sponsoring Investment - $500.00
Life Investment - $ 1,000.00
Other Investment $ ________
MEMBERSHIP REQUIREMENTS
Bachelor degree, or higher in engineering, science, or mathematics,
membership in another professional association, and U.S. Citizenship.
Annual dues are one hundred dollars. See the comparison*. Application
form is above.
I have a bachelor degree or higher in engineering, mathematics, or
science, membership in another professional association, and U.S,
citizenship.
Signature: ________________________ Date: _____
Your contributions may be tax deductible.
c
I am paying by check payable to the AIE.
OR
c
VISA c
MasterCard c American Express
Card #: _____________________ Exp. Date: _____
Card Holder: ________________________________
Signature: ________________________ Date: _____
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