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AWS MEMBERSHIP MEMBER SHIP APPLICA APPLICATION TION  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

8669 NW 36 St, # 130 Miami, FL 33166-6672  Telephone  Telepho ne (800) 443-9353 443-9353 FAX (305) 443-5647 Visit our website: www.aws.org

CONTACT INFORMATION q New Member q Renewal q Mr. q Ms. q Mrs. q Dr.

Please print • Duplicate this page as needed

Last Name:________ Name:____________________ ________________________ ________________________ ________________________ ________________________ _______________________ ___________ First Name:______________________________________________ Name:___________________________________________________________________ _____________________ M.I:_______ Birthdate: _____________________________ E-Mail:____________________________________________ 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

 Education level: q High school diploma

 Sex: q Male q Female

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 q 

the Membership or service you’d like, and then add the cost together to get your Total Payment. Payment.

AWS INDIVIDUAL INDIVID UAL MEMBERSHIP MEMBERS HIP (One Year) Year).................... .......................................... ............................................ ............................................ ......................................$87 ................$87   AWS INDIVIDUAL MEMBERSHIP 󰀨Two Years󰀩 SAVE $25 New Members Only ..... ....................................$149



New Member Initiation Fee ..................... ........................................... ............................................ ............................................ ............................................ ............................................ ..............................$12 ........$12

OPTIONS AVAILABLE TO AWS INDIVIDUAL MEMBERS ONLY:   A.) OPTIONAL Book Selection  Selection (Choose from 25 titles; up to a $192 value; includes shipping & handling)   q  Individual Members in the U.S............. U.S................................... ............................................ ............................................ ............................................ ............................................ .............................$35 .......$35  



Individual Members outside the U.S  (includes International shipping)...................... ............................................ ............................................ ...............................$85 .........$85

  ONLY ONE SELECTION PLEASE. For more book choices visit https://app.aws.org/membership/books   q  Jefferso  Jefferson’ n’s Welding ding Encyc. Encyc.(CD-ROM only)  q  Design & Planning Manual for Cost-Effective Welding   q  Welding Metallurgy   q  Welding Inspection Handbook  

Welding Handbook Selections: q  WHB (9th Ed., Vol. 5) q  WHB  (9th Ed., Vol. Vol. 4) q  WHB  (9th Ed., Vol.3) q  WHB  (9th Ed., Vol. Vol. 2) Pocket Handbook Selections: q  PHB-1 (Arc Welding Steel) q  PHB-2 (Visual Inspection) q  PHB-4 (GMAW / FCAW)

 

q  WH  (9th  (9th Ed., Vol. 1)

B.) OPTIONAL Welding Journal Hard Copy (for Copy (for Members outside North America)   q  Individual Members outside North America (note: digital delivery of WJ is standard).................................. standard)..............................................$50 ............................................ ............................................ ......................................$_____________ ................$_____________ INDIVIDUAL MEMBERSHIP MEMBERSHI P TOT TOTAL AL PA PAYMENT YMENT...................... NOTE: Dues include $17.30 for Welding Journal subscription and $4.00 for the AWS Foundation.

STUDENT MEMBERSHIP q 

AWS STUDENT MEMBERSHIP (with digital Welding Journal magazine) magazine)................................................$15 ................................................$15

q  AWS STUDENT MEMBERSHIP (with hard copy Welding Journal magazine) magazine)..............................................$35 ..............................................$35

Option available only to students in U.S., Canada & Mexico.

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#:____________ CC#:____ ________ / ____________ / ____________ ____________ / ____________ ____________ Expiration Date Date (mm/yy) ________ ________ / ________ ________ Signature of Applicant:_____ Applicant:________________ _______________________ _______________________ _____________ __ Application Date:______ Date:_________________ _________________ ______ OFFICE USE ONLY

Source Code: INT REV. 11/15

Check #:___________ #:_______________________ ____________________ ________ Account #___________ #________________________ _________________________ ____________ Date:____________________ Date:________ _________________________ _____________ Amount:____ Amount:________________ _________________________ _____________________ ________

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 G H I J K L M N O P Q R S

q Machinery except elect. (incl. gas welding) q Electrical equip., supplies, electrodes q Transportation equip. — air, aerospace q Transportation equip. — automotive q Transportation equip. — boats, ships q Transportation equip. — railroad q Utilities q Welding distributors & retail trade q Misc. repair services (incl. welding shops) q  Educational Services (univ., (univ., libraries, schools) q  Engineering & architectural services (incl. assns.) q  Misc. business services (incl. commercial commercial labs) q  Government (federal, state, local) q  Other

 Job Classification Classification (Check ONE only) only) 01 q President, owner, partner, officer 02 q Manager, director, superintendent (or assistant) 03 q Sales 04 q Purchasing

05 20 21 06 10 12 13 22 07 08 14 09 11 15 17 16 18 19

q Engineer — welding q Engineer — design q Engineer — manufacturing q Engineer — other q Architect designer q Metallurgist q Research & development q Quality control q Inspector, tester q Supervisor, foreman q Technician q Welder, welding or cutting operator q Consultant q Educator q Librarian q Student q Customer Service q Other

Technical Interests (Check all that apply)

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2

q Ferrous metals q Aluminum q Nonferrous metals except aluminum

materials/Intermetallicss q Advanced materials/Intermetallic q Ceramics q High energy beam processes q Arc welding q Brazing and soldering q Resistance welding q Thermal spray q Cutting q NDT q Safety and health q Bending and shearing q Roll forming q Stamping and punching q Aerospace q Automotive q Machinery q Marine q Piping and tubing q Pressure vessels and tanks q Sheet metal q Structures q Other q Automation q Robotics q Computerization of Welding

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