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    2014 Intl. Associate Member

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    Jaytee
    This document is an application form for international associate membership in the American Institute of Architects (AIA). It collects personal and professional information from applicants such as name, address, license and degree details. It also requests payment information for national, state and local AIA membership dues. Upon acceptance, applicants will receive access to AIA resources and a subscription to its magazine Architect.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    2014 Intl. Associate Member

    Uploaded by

    Jaytee
    34 views2 pages
    This document is an application form for international associate membership in the American Institute of Architects (AIA). It collects personal and professional information from applicants such as name, address, license and degree details. It also requests payment information for national, state and local AIA membership dues. Upon acceptance, applicants will receive access to AIA resources and a subscription to its magazine Architect.

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    This document is an application form for international associate membership in the American Institute of Architects (AIA). It collects personal and professional information from applicants such as name, address, license and degree details. It also requests payment information for national, state and local AIA membership dues. Upon acceptance, applicants will receive access to AIA resources and a subscription to its magazine Architect.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views2 pages

    2014 Intl. Associate Member

    Uploaded by

    Jaytee
    This document is an application form for international associate membership in the American Institute of Architects (AIA). It collects personal and professional information from applicants such as name, address, license and degree details. It also requests payment information for national, state and local AIA membership dues. Upon acceptance, applicants will receive access to AIA resources and a subscription to its magazine Architect.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Source Code: 2014IntAssociate

    !!New member

    Former member_________________________________
    Member ID

    2014 International Associate Membership Application

    Individuals who have an architecture license or equivalent from a non-U.S. licensing authority are eligible for International Associate membership.
    To expedite your application process, join online at www.aia.org/join
    PERSONAL INFORMATION
    Mr. Mrs. Ms.

    First

    M.I.

    Last

    Address

    Apartment/Unit #

    City

    State/Country

    Home Phone

    Home E-mail

    Home Fax

    Cell Phone

    ZIP

    DOB

    COMPANY INFORMATION
    Company Name

    Job Title

    Address

    Suite/Floor

    City

    State/Country

    Office Phone

    Office E-mail

    Office Fax

    Company
    Web Address

    Mailing Preference:

    Home

    Primary Email:

    Office

    Home

    ZIP

    Primary Phone:

    Office

    Home

    Office

    Check to receive the digital version only of ARCHITECT magazine


    Periodically, AIA will make its mailing lists available to companies in the build and design industry. If you do not want your mailing address shared, please check here

    ARCHITECTURE DEGREE
    Type of degree (e.g., BArch, MArch)

    Year Received

    School

    LICENSE INFORMATION

    Please attach a copy of your active non-U.S. license with the application
    *Your license must be current and active at the time of application submission. Applicants with expired or inactive licenses will not be proces sed.*
    Country

    Date Awarded

    Expiration Date

    License Number

    Country

    Date Awarded

    Expiration Date

    License Number

    CHAPTER ASSIGNMENT
    The AIA is a three-tiered organization requiring membership at the local, state, and national levels. Chapter affiliation is assigned by the zip code of
    your office or home address. To view a list of chapters, visit www.aia.org/about/structure.
    If you need help determining your chapter assignment, contact AIA Information Central at 1 (800)242-3837, option 2

    AIA Middle East


    Assign me to the local AIA chapter _____________________________________
    based on my:

    Home address

    OR

    Office address

    CODE OF ETHICS
    AIA members agree to abide by the AIA Bylaws, the AIA Code of Ethics and Professional Conduct and agree to the Terms & Conditions for
    membership. To view the Code of Ethics, visit www.aia.org/code_of_ethics. To view the Terms & Conditions, visit www.aia.org/terms_of_service.
    I agree to abide by the Code of Ethics stated in the AIA Bylaws and Terms & Conditions____________________________________________________________
    Signature

    PROFESSIONAL INFORMATION
    Type of firm/company with which you are currently
    employed
    Architecture sole practitioner
    Architecture firm
    Multidisciplinary design
    firm/architecture as lead
    Multidisciplinary design
    firm/architecture not lead
    Corporate business
    Government agency
    Construction
    Interior design
    Landscape
    Urban design
    University/college
    Library or association
    Other _____________________

    Are you a previous member of?

    Primary role in firm/company


    Principal/Partner
    Department head/Senior manager
    Architect
    Project manager
    Engineer
    Interior designer
    Graphic designer
    Construction administrator
    Specification writer
    CAD manager
    Architectural drafter
    Educator
    Are you a member of any of the following
    professional organizations?

    American Institute of Architecture Students


    (AIAS)
    Associated Student Chapters/AIA
    (ASC/AIA)
    National Architecture Students Association
    (NASA)
    I was referred to join the AIA by
    Local chapter
    State chapter
    National advertisement/promotion
    Promotion Code __________________

    AIA member ________________________


    Name

    GBCI LEED AP # _____________________


    USGBC National Member (Company)
    USGBC Local Member (Individual)

    DEMOGRAPHIC INFORMATION (optional)


    Ethnicity (optional)
    Black or African American
    Asian
    White
    Hispanic or Latino
    American Indian or Alaska Native
    Native Hawaiian or Other Pacific Islander
    Two or More Races

    Gender (optional)
    Male
    Female

    Special Accommodations (optional)


    Hearing disability
    Visual disability
    Physical disability
    Other _________________________________________

    The information gathered by the AIA is


    Personal information you provide to the AIA will be used for internal reporting
    purposes only to ensure we accurately reflect our membership demographics. Any personal information that you provide shall not, without your consent, be disclosed to third parties, except as
    permitted or required by law.

    MEMBERSHIP DUES
    To determine your state and local dues, please contact AIA Information Central at 1 (800) 242-3837, option 2. Membership dues are calculated on a
    calendar year, January to December. New member dues are prorated quarterly. Please submit full payment of your local, state, and national dues.

    National

    Joining between
    10/1/13 - 3/31/14
    $ 182.00

    National

    Joining between
    4/1/14 - 6/30/14
    $ 136.50

    National

    Joining between
    7/1/14 - 9/30/14
    $ 91.00

    State

    State

    State

    Local
    TOTAL DUES

    $ 75.00

    Local

    $ 56.25

    Local

    $ 37.50

    $ 326.00

    TOTAL DUES

    $ 244.50

    TOTAL DUES

    $163.00

    PAYMENT
    For payment plan information, please visit www.aia.org/paybyinstallments. Dues are not a tax-deductible donation, but may be eligible as a business expense deduction.

    Check (payable to The American Institute of Architects)

    Credit Card Type:

    Card Number

    Expiration Date

    Name of Cardholder

    Signature

    Please let us know who pays your professional AIA membership dues:

    Visa

    Firm/company (full payment)

    MasterCard

    American Express

    Firm/company (partial payment)

    Discover

    I pay them

    Please remit application and payment to:


    The American Institute of Architects | P.O. Box 64185 | Baltimore, MD 21264-4185
    E-mail to: [email protected] | Fax to: (202) 626-7547
    ARCHITECT is the official magazine of the AIA. Your membership dues include a paid subscription to ARCHITECT magazine, at a value of $29.50 for one year. You can choose to receive
    Mailing Preference section of this application. Learn more at www.aia.org/join. Members can
    choose to have their print edition of ARCHITECT magazine sent to a different individual, such as a local school of architecture or library. Please contact us by phone at (800) 242-3837 (option
    2) to facilitate donating your print edition of ARCHITECT magazine. You will begin receiving ARCHITECT magazine at your preferred address 6 to 8 weeks after your application is
    processed.
    A membership packet will be mailed to your primary address 2 - 3 weeks after receiving your welcome email, which provides more information regarding resources and benefits from AIA.

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