INFORMS New York Metro Chapter 1 YEAR
INFORMS New York Metro Chapter 1 YEAR MEMBERSHIP APPLICATION FORM This is not an electronic application. Please print this form and mail with payment to the address below. The membership runs for 12 months. If you join on or before the 15th of the month, the 12-month period starts from the first of that month. If you join after the 15th of the month, the 12-month period starts from the first of the following month. 1. Indicate your rate. New York Metro Chapter membership rates are: Membership in New York Metro Chapter
$50
Full-time students and seniors 65 and over
$15
Special rate for INFORMS national members* Full-time students and seniors 65 and over*
$40 $10
*Must be a member of INFORMS to qualify for special chapter discount rate. For information on INFORMS membership or to join INFORMS visit http://join.informs.org/. Fees valid through 12/31/18
2. Indicate your name, company, title, business and home addresses: Name Company Title
___________________________ ___________________________ ___________________________
Send mail to: Home Business
Business Address
Home Address
__________________ Address Line 2 __________________ City, State, ZIP __________________ Telephone __________________ Fax __________________ Email* __________________
___________________ ___________________ ___________________ ___________________ ___________________ ___________________
Address Line 1
*Very important - INFORMS NY sends monthly meeting and event announcements via email.
3. Mail this form with your check payable to INFORMS New York Metro Chapter to: John Waldes 10 West 66th Street, Apt. 4D New York, NY 10023 Email: [email protected]
$50
Full-time students and seniors 65 and over
$15
Special rate for INFORMS national members* Full-time students and seniors 65 and over*
$40 $10
*Must be a member of INFORMS to qualify for special chapter discount rate. For information on INFORMS membership or to join INFORMS visit http://join.informs.org/. Fees valid through 12/31/18
2. Indicate your name, company, title, business and home addresses: Name Company Title
___________________________ ___________________________ ___________________________
Send mail to: Home Business
Business Address
Home Address
__________________ Address Line 2 __________________ City, State, ZIP __________________ Telephone __________________ Fax __________________ Email* __________________
___________________ ___________________ ___________________ ___________________ ___________________ ___________________
Address Line 1
*Very important - INFORMS NY sends monthly meeting and event announcements via email.
3. Mail this form with your check payable to INFORMS New York Metro Chapter to: John Waldes 10 West 66th Street, Apt. 4D New York, NY 10023 Email: [email protected]
