AWS MEMBERSHIP APPLICATION 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 CONTACT INFORMATION 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 Check here if you would prefer not to receive email updates on AWS programs, new Member benefits, savings opportunities and events. INDIVIDUAL MEMBERSHIP 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/membership q 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. 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)...................................................................................................................$35 Includes one-year Welding Journal hard copy subscription. Option available only to students in U.S., Canada & Mexico. STUDENT MEMBERSHIP TOTAL PAYMENT......................................................................................$_____________ 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:_____________________________________ REV. 11/14 8669 NW 36 St, # 130 Miami, FL 33166-6672 Telephone (800) 443-9353 FAX (305) 443-5647 Visit our website: www.aws.org 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 q Transportation equip. — air, aerospace I q Transportation equip. — automotive J q Transportation equip. — boats, ships K q Transportation equip. — railroad L q Utilities M q Welding 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 Job Classification (Check ONE only) 01 q President, owner, partner, officer 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 q Technician 09 q Welder, 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 q Thermal 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