ASHRAE Membership Application

Under Reciprical Recognition Agreement ASHRAE/CIBSE

ASHRAE is your single resource for keeping up with technical advances in the industry. By joining, you gain direct access to new technology, universally recognized technical information, and you inuence the direction of HVAC&R technology. Through your knowledge and understanding of the industry, we can continue to expand our sustainability efforts, increase the stringency of industry standards and develop technology that enables high performance for the life of buildings and their systems. With more than 53,000 members from over 132 nations, ASHRAE is a diverse organization representing building system design and industrial processes professionals around the world. Together, we are shaping tomorrows built environment today.

MEMBER BENEFITS AND RESOURCES PUBLICAtIONS & RESOURCES ASHRAE Handbook (Available to Members and Associates) ASHRAE Journal High Performing Buildings magazine e-Industry and eSociety electronic newsletters Access to members-only resources through ASHRAE.org, including the ASHRAE Journal and ASHRAE Research archives First-time Associates and Members receive a complimentary 12-month subscription to ASHRAE Handbook Online, which allows search of all
four volumes in I-P and SI units (renew this subscription for $49)

MEMBERSHIP
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. 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. Member and Associate Member grades offer the same member benets. 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 benets. Prices shown are in US currency. Member ($196) Available to anyone with 12 years or more ASHRAE approved experience in the HVAC&R industry. Associate Member ($196) Available to anyone with less than 12 years of ASHRAE approved experience in the HVAC&R industry. Afliate Member ($52 rst year, $72 second year, $93 third year) Afliate 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 benet of the ASHRAE Handbook).

PROFESSIONAL EDUCAtION AND CAREER DEVELOPmENt Maximize your knowledge with seminars and courses from the ASHRAE Learning Institute Earn PDHs/CEUs/AIA LUs to maintain your professional designation/license with courses, seminars and webcasts Build communication and management skills by participating in ASHRAE technical programs or committees Post jobs or seek employment utilizing www.ASHRAEjobs.com NEtwORKING Meet with industry experts and colleagues at chapter, region and Society meetings Connect locally, regionally and internationally with over 170 chapters worldwide Learn, share and grow at the Annual and Winter Conferences, on ASHRAE technical committees and online communities MEmBER DISCOUNtS On over 300 of the industrys leading technical publications On registration at ASHRAE conferences On education courses and certication applications

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

QUESTIONS? Contact a Member Specialist at 1-800-527-4723 or membership@ashrae.org.
Please return completed application to: ASHRAE 1791 Tullie Circle NE, Atlanta, GA 30329 Fax: 678-539-2129 | Ph: 1-800-527-4723 | 404-636-8400

ASHRAE MEMBERSHIP APPLICATION. Please complete each applicable section.

1. Contact Information. Mr. Miss Ms. Mrs. Dr.

CIBSE Member Grade: ___________ CIBSE Member Number:__________

(Day) (Year)

Birthday_________ /_________ /_________

(Month)

Name ________________________________________________________________________________________________________ (First) (Middle) (Last) (Designation) Primary Address This is a Home Business Alternate Address This is a Home Business Company Name______________________________________ Company Name ________________________________________ Address_____________________________________________ City_________________________State/Province____________ Zip/Postal_____________ Country_______________________ E-mail ______________________________________________ Address _______________________________________________ City_ _________________________ State/Province ____________ Zip/Postal_______________Country________________________

Alternate E-Mail_________________________________________ Telephone___________________ Cell____________________ Preferred Chapter Home Business Other _____________ Name/Chapter of referring member (if applicable):__________________________________________________________________________ 2. Member Grade. 2a. Biographical Information. ONLY Member Grade applicants must complete this section.
School Location Dates of Attendance

For additional information on member grades and benets see reverse or visit ashrae.org. Member $196 (must complete section 2a) Associate Member $196 Afliate Member $52 rst year/$72 second/$92 third (new members, under 30) Reinstate my previous membership. Previous member number:_____________

Use additional sheets or attach resume if necessary. Associate and Afliate grade applicants do not complete this section. Degree/Course of Study ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Employer Location Dates of Employment Position/Title ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Professional Engineering License Number __________________ Field of Registration ______________________ Registration Information Date Issued __________________ Location of Registration ___________________

Educational Record

Qualifying Work Experience

3. ASHRAE Journal. Please answer the questions by entering the codes in the space provided.
Which best describes your title? __________ R- Sales Engineer B- President S- Purchasing Agent C- Partner T- Draftsperson D- Associate U- Estimator E- Owner W- Technician F- Vice President X- Professor G- VP/Chief Engineer Y- Student K- Design Engineer L- Proj./Application Eng. Z- Librarian ZZ- Other _______ O- Facility Eng./Mngr. P- Research/Devlpmnt. Which best describes your rm? ____________ 11- Consulting Eng. 43- Utility 12- Architectural & Eng 51- Manufacturer 15- Design/Build 61- Manufacturers Rep. 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, 86- Student Education 91- Other ________ 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 1st, 2nd and 3rd area of interest from the list below: 1._____ 2.______ 3.______
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 Refrigeration S- Unitary Refrigeration T- Commercial Refg. U- Industrial Refg. V- Process Refg. W- Low Temp (<60F) X- Refg. Components General Areas 1- Controls/Instrumentation 2- Heat Transfer Fluid Flow 3- Pipes, valves, ttings 4- Refg. & Lubrications 5- Sound & Vibration 6- Insulation 7- Energy Recovery 8- Food Application 9- Health, Safety

5. Handbook Preference.
Members and Associate Members receive the annual ASHRAE Handbook. Please indicate your Handbook preference here: I-P (inch/pound units), print with CD SI (metric units), print with CD CD only (I-P & SI)

6. ASHRAE Email Usage Policy ASHRAE respects the privacy rights and communication preferences of its members. 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. Occasionally ASHRAE makes under proper safeguard physical address mailing lists not email to third parties for HVAC&R technology related direct mail purposes. If you DO NOT wish to receive 3rd party physical mailings, please check here.

8a. Include chapter membership dues: Dues Amount:__________ Paying chapter dues is encouraged but not mandatory for membership in the Society. Add this amount to your Society dues in the Total Amount of the payment section above. Contact chapter ofcers for amount. Chapter dues can be paid separately at anytime to your chapter ofcers at anytime. 8b. Payment.
Visa Mastercard Amex Diners Club Check/money order**

Card # ___________________________________________________ Expiration Date _________/________ (Month) (Year) Total Amount: ______________ Signature____________________________________________________
**Checks must be made payable to ASHRAE from US funds from a US Bank**

7. Signature & Date Required

____________________________________