Choose Membership Type
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Associate/Student Membership: $20 per calendar year |
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Annual Membership: $30 per calendar year |
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Life Membership: $200 per calendar year |
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Contact Information
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First Name:* |
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Middle Initial: |
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Last Name:* |
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Address:* |
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City:* |
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State:* |
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Zipcode:* |
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Day Time Telephone:*
e.g: xxx-xxx-xxxx |
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Evening Telephone:
e.g: xxx-xxx-xxxx |
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Cell Phone:
e.g: xxx-xxx-xxxx |
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Email where you want to Receive SIAEA Correspondance:* |
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Password:* |
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Confirm Password:* |
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Recommended By First and Last Name (Must be an SIAEA Member):* |
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Qualifications
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Qualifications:* |
Engineer
Engineer (PE)
Architect
Architect (RA)
Student
Other: |
Please enter your professional license number, if applicable: |
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University:* |
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Degree:*
e.g: B.S, M.S, M.E, etc. |
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Graduation Year:* |
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Volunteer Services
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Would you like to serve on an SIAEA working committee?* |
Yes
No
Yes, but at a later time |
Working Committee Area of Interest |
Membership Development
New Initiatives
Seminars and Professional Development
Employment Network
Student Liaison
Events Committee
Other: |