Membership Application - AWS
Membership Application ______________________________________________________________________________________________________________________________ NAME
TITLE
______________________________________________________________________________________________________________________________ ORGANIZATION
______________________________________________________________________________________________________________________________ ADDRESS
______________________________________________________________________________ _____________________________________________ CITY/STATE/ZIP
PHONE
__________________________________________ __________________________________________________________________________________ FAX
E-MAIL
m CHIEF EXECUTIVE OFFICER $355* (Available to individuals who serve as the chief executive officer, chief administrative officer or account executive of a voluntary member or donor-based organization, whether employed directly by the organization or management company providing full management services.) m ASSOCIATION PROFESSIONAL $275* (Available to individuals who serve in a management or supervisory capacity of a voluntary member or donor-based organization, whether employed directly by the organization or management company providing full management services.)
HOW DID YOU HEAR ABOUT US? m Personal Referral Name_________________________________________________________________________________________ m Website m FORUM Magazine m Shared Interest Group m Career Center m Holiday Showcase m Advertisment
PAYMENT OPTIONS:
m Check Enclosed
m American Express
___________________________________________________________ CARDHOLDER NAME _______________________________________ EXPIRATION DATE
m VISA
m MasterCard
m Discover
_______________________________________________________________ CARD NUMBER
___________________________________________________________________________________ SIGNATURE
E-MAIL APPLICATION to: [email protected] FAX APPLICATION to (312) 924-7121 or MAIL to: 10 S. Riverside Plaza, Suite 800, Chicago, Illinois 60606 Association Forum membership dues are not deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense. To the extent that the Association Forum engages in lobbying, five percent (5%) of dues are not deductible as an ordinary and necessary business expense. Association Forum is an individual membership society. Association Forum membership is individual rather than organizational, and is fully portable in the event of a change of employment (applicable to executive or supplier partner members). Substantial discounts are offered to members and may not be transferable to co-workers/nonmembers. Membership dues are non-refundable in accordance with the bylaws. *Dues in the first year are prorated on a monthly basis.
TM
10 S. Riverside Plaza, Suite 800 | Chicago, Illinois 60606 (312) 924-7000 | (312) 924-7100 fax www.associationforum.org
TM
PRIMARY JOB m Chief Executive Officer – Executive Director m Chief Financial Officer m Chief Information Officer m Chief Legal Counsel m Chief Operating Officer – Vice President m Department Director m Department Manager m Coordinator/Specialist/ Other___________________ __________________________ JOB FUNCTION m Administration m Administrative Support m Certification/Credentialing m Chapter/Component Relations
Membership Demographic Questions m Communications m Education m Finance/Accounting m Foundation m Governance m Government Relations m Human Resources m Information Technology m Legal m Marketing m Meeting Planning m Membership Development m Membership Services m Program Development m Public Policy m Public Relations m Research m Sales and Sponsorship
MEMBERSHIPS IN OTHER ORGANIZATIONS m ASAE m MPI m PCMA m Other Society of Association Executives m Other Professional Organization AREAS OF INTEREST m Administration m Administrative Support m Certification/Credentialing m Chapter/Component Relations m Communications m Diversity m Education m Finance/Accounting m Foundation
m Governance m Government Relations m Human Resources m Information Technology m Legal m Marketing m Meeting Planning m Membership Development m Membership Services m Program Development m Public Policy m Public Relations m Research m Sales and Sponsorship
Shared Interest Groups SHARED INTEREST GROUPS BEGIN WITH YOU!
CHECK THE SIGs YOU’D LIKE TO JOIN
Included in your membership is unlimited involvement in our Shared Interest Groups (SIGs).
m No. 2 Executives/COOs m Certification of Professionals m Communications m Component Relations m Educational Program Development m Finance m Fundraising and Development m Governance
SIGs are small, member-focused gatherings for the purpose of education, information sharing, and idea exchange with your peers. They give you the opportunity to come together with individuals who share your job responsibilities, challenges, and perspectives.
m Government Relations m Information Technology m Marketing m Meeting Professionals m Membership Development & Services m Young Professionals
ALL SIG PARTICIPANTS ARE ELIGIBLE FOR CAE CREDIT AT EACH PROGRAM!
Look for more detailed information on each SIG at www.associationforum.org
TITLE
______________________________________________________________________________________________________________________________ ORGANIZATION
______________________________________________________________________________________________________________________________ ADDRESS
______________________________________________________________________________ _____________________________________________ CITY/STATE/ZIP
PHONE
__________________________________________ __________________________________________________________________________________ FAX
m CHIEF EXECUTIVE OFFICER $355* (Available to individuals who serve as the chief executive officer, chief administrative officer or account executive of a voluntary member or donor-based organization, whether employed directly by the organization or management company providing full management services.) m ASSOCIATION PROFESSIONAL $275* (Available to individuals who serve in a management or supervisory capacity of a voluntary member or donor-based organization, whether employed directly by the organization or management company providing full management services.)
HOW DID YOU HEAR ABOUT US? m Personal Referral Name_________________________________________________________________________________________ m Website m FORUM Magazine m Shared Interest Group m Career Center m Holiday Showcase m Advertisment
PAYMENT OPTIONS:
m Check Enclosed
m American Express
___________________________________________________________ CARDHOLDER NAME _______________________________________ EXPIRATION DATE
m VISA
m MasterCard
m Discover
_______________________________________________________________ CARD NUMBER
___________________________________________________________________________________ SIGNATURE
E-MAIL APPLICATION to: [email protected] FAX APPLICATION to (312) 924-7121 or MAIL to: 10 S. Riverside Plaza, Suite 800, Chicago, Illinois 60606 Association Forum membership dues are not deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense. To the extent that the Association Forum engages in lobbying, five percent (5%) of dues are not deductible as an ordinary and necessary business expense. Association Forum is an individual membership society. Association Forum membership is individual rather than organizational, and is fully portable in the event of a change of employment (applicable to executive or supplier partner members). Substantial discounts are offered to members and may not be transferable to co-workers/nonmembers. Membership dues are non-refundable in accordance with the bylaws. *Dues in the first year are prorated on a monthly basis.
TM
10 S. Riverside Plaza, Suite 800 | Chicago, Illinois 60606 (312) 924-7000 | (312) 924-7100 fax www.associationforum.org
TM
PRIMARY JOB m Chief Executive Officer – Executive Director m Chief Financial Officer m Chief Information Officer m Chief Legal Counsel m Chief Operating Officer – Vice President m Department Director m Department Manager m Coordinator/Specialist/ Other___________________ __________________________ JOB FUNCTION m Administration m Administrative Support m Certification/Credentialing m Chapter/Component Relations
Membership Demographic Questions m Communications m Education m Finance/Accounting m Foundation m Governance m Government Relations m Human Resources m Information Technology m Legal m Marketing m Meeting Planning m Membership Development m Membership Services m Program Development m Public Policy m Public Relations m Research m Sales and Sponsorship
MEMBERSHIPS IN OTHER ORGANIZATIONS m ASAE m MPI m PCMA m Other Society of Association Executives m Other Professional Organization AREAS OF INTEREST m Administration m Administrative Support m Certification/Credentialing m Chapter/Component Relations m Communications m Diversity m Education m Finance/Accounting m Foundation
m Governance m Government Relations m Human Resources m Information Technology m Legal m Marketing m Meeting Planning m Membership Development m Membership Services m Program Development m Public Policy m Public Relations m Research m Sales and Sponsorship
Shared Interest Groups SHARED INTEREST GROUPS BEGIN WITH YOU!
CHECK THE SIGs YOU’D LIKE TO JOIN
Included in your membership is unlimited involvement in our Shared Interest Groups (SIGs).
m No. 2 Executives/COOs m Certification of Professionals m Communications m Component Relations m Educational Program Development m Finance m Fundraising and Development m Governance
SIGs are small, member-focused gatherings for the purpose of education, information sharing, and idea exchange with your peers. They give you the opportunity to come together with individuals who share your job responsibilities, challenges, and perspectives.
m Government Relations m Information Technology m Marketing m Meeting Professionals m Membership Development & Services m Young Professionals
ALL SIG PARTICIPANTS ARE ELIGIBLE FOR CAE CREDIT AT EACH PROGRAM!
Look for more detailed information on each SIG at www.associationforum.org
