Document 10627624

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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:______________________________________________
Œ Who pays your dues?: q Company q Self-paid  Sex: q Male q Female
Ž 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
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