2015 Membership App Regular

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ASHRAE Membership Application

Save Time. Join Online at www.ashrae.org/join


Prices shown are valid from July 1, 2015 through June 30, 2016

MEMBERSHIP

MEMBER BENEFITS AND RESOURCES

Who are ASHRAE Members?


Members are represented by consulting engineers,
mechanical contractors, building owners, employees
of manufacturing companies, educational
institutions, research organizations, government,
architects, students or anyone concerned with
HVAC&R for the built environment.

Publications & Resources


ASHRAE Handbook (Available to Members
and Associates) in print or CD, as well as a
12 month complimentary subscription to
the Handbook Online, which provides online
access to the most recent 4 volumes of the
Handbook series.
Monthly ASHRAE Journal in print and online
Quarterly High Performing Buildings magazine
in print and online
e-Industry and eSociety electronic newsletters
Access to members-only resources through
ASHRAE.org, including the ASHRAE Journal
and ASHRAE Research archives
Discounts on over 300 of the industrys
leading technical publications

Which Member Type is Right for You?


ASHRAE has three grades of membership awarded to
applicants based on their experience and
participation in the industry. Before you apply and
select a member grade, we encourage you to visit the
ASHRAE website to see the member grades and their
corresponding member benefits. Prices shown are in
US currency.
Member ($202)
Available to anyone with 12 years or more
ASHRAE approved experience in the HVAC&R
industry.
Associate Member ($202)
Available to anyone with less than 12 years of
ASHRAE approved experience in the HVAC&R
industry.
Affiliate Member
($54 first year, $74 second, $95 third)
Affiliate grade is for individuals who are new to
ASHRAE (no previous membership in ASHRAE)
and are age 30 or younger. It provides a great
beginning for young professionals who wish to
become involved in ASHRAE. (Does not include
the annual member benefit of the ASHRAE
Handbook).
Privacy Policy: By supplying your email address you
are agreeing to receive electronic communications from
ASHRAE, with the knowledge that you may opt-out of
certain electronic communication once you become
a member. Please visit ashrae.org/privacypolicy for
additional information.

Professional Education and Career Development


Discounted registration for education courses
through the ASHRAE Learning Institute, as
well as ASHRAE certification programs
Earn PDHs/CEUs/AIA LUs to maintain your
professional designation/license with courses,
seminars, and webcasts
Gain industry knowledge, communication,
and management skills by participating in
ASHRAE technical programs or committees
Post jobs or seek employment utilizing
www.ASHRAEjobs.com
Networking
Connect locally, regionally and internationally
with over 53,000 members in over 170
chapters worldwide
Learn, share, and grow at the Annual and
Winter Conferences, on ASHRAE technical
committees, and ASHRAExChange.org
Participate in your local chapter or regional
meetings and events
By submitting this application you are agreeing to abide by
the ASHRAE Code of Ethics, found at ashrae.org/codeofethics,
and the ASHRAE Discrimination And Harassment Policy found
at ashrae.org/ ashrae-discrimination-and-harassment-policy.

Completed applications or questions can be sent to ASHRAE via


email: [email protected] | fax: 678-539-2129 | phone: 1-800-527-4723 or 404-636-8400
mail: 1791 Tullie Circle, Atlanta, GA 30329

ASHRAE MEMBERSHIP APPLICATION. Please complete each applicable section. Prices valid from 7/01/2015 - 6/30/2016.
1. Contact Information.
Mr. Miss
Ms.
Mrs.
Dr.
*Birthday (required) _______ /_______ /_______



(Month) (Day) (Year)
Name ________________________________________________________________________________________________________
(First) (Middle) (Last)
(Designation)
Primary Address

This is a

Home

Alternate Address This is a

Business

Home

Business

Company Name______________________________________

Company Name ________________________________________

Address_____________________________________________

Address _______________________________________________

City_________________________State/Province____________

City__________________________ State/Province ____________

Zip/Postal_____________ Country_______________________

Zip/Postal_______________Country________________________

E-mail ______________________________________________

Alternate E-Mail_________________________________________

Telephone___________________ Cell____________________
Preferred Chapter Home Business Other _____________
Name/Chapter of referring member (if applicable):__________________________________________________________________________
2. Member Grade.

For additional information on


member grades and benefits
see reverse or visit ashrae.org.
Member $202 (must
complete section 2a)
Associate Member $202
Affiliate Member $54 first
year/$74 second/$95 third
(new members, under 30)
Reinstate my previous
membership. Previous
member number:_________

2a. Biographical Information. ONLY Member Grade applicants must complete this section.

Use additional sheets or attach resume if necessary. Associate and Affiliate grade applicants do not complete this section.

School

Location

Dates of Attendance

Degree/Course of Study

__________________________________________________________________________________________

Educational Record

__________________________________________________________________________________________
__________________________________________________________________________________________
Employer

Location

Dates of Employment

Position/Title

___________________________________________________________________________________________

Qualifying Work Experience

___________________________________________________________________________________________
__________________________________________________________________________________________
Professional
Engineering
License
Number __________________ Field of Registration ________________
Registration
Information
Date
Issued __________________ Location of Registration ____________

3. Demographics. Please answer the questions


by entering the codes in the space provided.
Which best describes your title? __________
A- Corporte Officer
P- R&D
AA- Engineering
R- Sales Engineer
Mangement
S- Purchasing
B- President
BB- Engineering Staff Agent
T- Draftsperson
C- Partner
U- Estimator
D- Associate
W- Technician
E- Owner
X- Professor
F- Vice President
Y- Student
G- VP/Chief Engineer
Z- Librarian
K- Design Engineer
Which best describes your firm? _________
11- Consulting Eng.
43- Utility
12- Architectural & Eng
51- Manufacturer
15- Design/Build
61-ManufacturersRep.
21- Contractor
62- Sales Engineering
26- Property Mgmt & Dev.
71- Wholesaler/Dist.
31- Industrial Facility Mgt.
83- Library
41- Commercial Facility Mgt. 84- Association
42- Govt,Healthcare,
91- Other
Education
Which best describes your function? _______
1- Design/Application
5- Sales
2- Manufacturing
6- Research
3- Maintenance
7- Teaching
Operations
8- Other
4- Management

4. Areas of HVAC&R Interest. Enter the code


for your area of interest from the list below:
Code:____________
Refrigeration
S- Unitary Refrigeration
T- Commercial Refg.
U- Industrial Refg.
V- Process Refg.
W- Low Temp (<60F)
X- Refg. Components

Heating
A- Hydronic
B- Forced Air
C- Steam
D- Process
E- Service Water
F- Solar
G- Radiant
Ventilating & AC
H- Air Cleaning
J- Industrial
K- Clean/Computer Room
L- AC Equip. <20 tons
M- AC Equip. 20-200 tons
N- AC Equip. > 200 tons
P- Air Handling Systems
Q- Evaporative Coolers
R- IEQ

General Areas
1- Controls/Instrumentation
2- Heat Transfer Fluid Flow
3- Pipes, valves, fittings
4- Refg. & Lubrications
5- Sound & Vibration
6- Insulation
7- Energy Recovery
8- Food Application
9- Health, Safety
10- Commisioning

5. Handbook Preference. New


Members and Associate Members receive
a 12 month complimentary subscription
to the Handbook Online, which includes
access to the most recent 4 volumes
of the Handbook. If you would like a
print copy of the ASHRAE Handbook
in addition to this subscription, please
chose either IP or SI version below.
Handbooks are printed and mailed to
members annually in June.
I-P (inch/pound units), print with CD
SI (metric units), print with CD
CD only (I-P & SI)

6. Privacy Notice If you DO NOT wish


to receive 3rd party physical mailings, please
check here.

7. Include chapter membership dues:

Dues Amount:__________ Paying chapter dues is


encouraged but not mandatory, and can be paid seperately to the Chapter at anytime. Contact chapter officers
for amount. Add this amount to your Society dues in the Total Amount of the payment section below.

8. Payment.

Visa

Mastercard

Amex

Diners Club

Check/money order**

Card # ___________________________________________________ Expiration Date _________/________


(Month)
(Year)
Total Amount: ______________ Signature____________________________________________________
CHECKS WILL BE ACCEPTED IN US AND CANADIAN FUNDS.CREDIT CARD PAYMENTS ACCEPTED IN US FUNDS ONLY

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