aws membership application - aws section · pocket handbook selections: ... (international or...

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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 Male q 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 Check here if you would prefer not to receive email updates on AWS programs, new Member benefits, savings opportunities and events.

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

Job Classification (Check ONE only)01 q President, owner, partner, officer02 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

AWS INDIVIDUAL MEMBERSHIP (Two Years) SAVE $25 New Members Only....................................$147

q New Member Initiation Fee ...........................................................................................................................................$12

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/membershipq Jefferson’s Welding Encyclopedia (CD-ROM only) q Design & Planning Manual for Cost-Effective Welding 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: INT 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