2009 IAAPA Membership Application

1. please complete your personal information

Company:
Address:
City: State/Province: Zip/Postal Code:
Please send form and payment to:
Country:
Telephone: Fax:
USA: 1448 Duke Street
(include area/country code) (include area/country code) Alexandria, VA, 22314
Contact Name (sur/last name and given/first name): Mr. Mrs. Ms.
Tel +1 703/836-4800
Fax +1 703/836-1192
Professional Title/Position: E-mail:
Mail to: Box 0058
2. please tell us how you found out about IAAPA Washington, DC 20055
Internet search An IAAPA member An IAAPA Expo Mailing Europe: Square de Meeus 38/40
Former member FUNWORLD magazine Advertisement Other: B-1000 Brussels, Belgium
Tel +45 24 49 14 05
3. please select the appropriate member category Fax +32 2 401 68 68
FACILITY: Any person, firm, or corporation engaged in the amusement and recreation business providing family entertainment 4. please select a payment method
at permanent locations may be eligible for membership in this category.
Date:
Please indicate the type of facility. If your facility includes more than one operation, rank them in order of importance. In addition,
if you operate a water attraction within your facility, please include Waterpark as one of your categories: Amount Paid: USD Euro
Small Amusement Park (attendance under 1 million) Family Entertainment Center Zoo Aquarium Museum Check in USD (to IAAPA) Wire Transfer
Large Amusement Park (attendance over 1 million) Theme Park Waterpark Casino Attraction Hotel/Resort Wire in U.S.: Bank of America, 1501 Pennsylvania Ave.,
NW, Washington, D.C., 20005, USA. Acct: 0020-866-30597,
Concessionaire
ABA: 026009593, SWIFT/BIC: BOFAUS3N.
In what year did you open for operation? Do you operate amusement rides? Yes No
Individual in charge of safety in your facility: Wire in Europe: ABN AMRO, Aalsterweg 92, NL-5615 CH,
Direct telephone number: E-mail: Eindhoven, The Netherlands. Acct: 54-55-52-893, IBAN:
NL87ABNA0545552893, SWIFT/BIC: ABNANL2A.
IMPORTANT: Participation in the Ride Incident Reporting Program is required for all U.S. members who operate amusement rides.
For more information, please contact IAAPA. Please initial here to indicate you understand this requirement: Amex MasterCard Visa Discover

Annual Membership Dues for facilities are determined by the type of facility and their geographic location using the schedule
Account Number CVC (3-4 digits on card)
below:
Other
US Europe Countries Exp. Date Signature

Facility Under One Million in Attendance $ 539 € 399 $ 459
5. important: please read and sign
Facility Over One Million in Attendance $ 1,899 € 1,399 $ 1,619
• Dues are for a calendar year (January to December). New
FEC OR Small Attraction Group (unlimited number of facilities) $ 2,999 € 2,169 $ 2,549 memberships received on or after September 15 will be
good for the next calendar year.
Park Groups (up to 10 large facilities, unlimited small facilties) $ 18,999 € 13,499 $ 16,149 • $ 50 USD of membership dues are applied to a subscription
Plus Each Additional Large Facility $ 539 € 399 $ 459 for FUNWORLD magazine but cannot be deducted.
• In the U.S., IAAPA dues are not tax deductible as charitable

contributions, but are deductible as a business expense.
Every year, IAAPA grants memberships to a limited number of facilities from countries under extreme economic conditions.
For the complete list of eligible countries and application procedures, please visit www.iaapa.org/membership. IAAPA requires its members to observe a Code of Conduct
outlining responsibilities:
MANUFACTURER/SUPPLIER/CONSULTANT: Annual Membership Dues: $ 429 | € 349 1. To maintain safety as the highest priority in their businesses
Any person or corporation engaged in consultancy services, manufacturing or selling equipment, services, or supplies to the and to comply with all applicable standards, laws, and
amusement industry may be eligible for membership in this category. regulations.
Please indicate type of business (If more than one business, rank them in order of importance): 2. To provide clean, wholesome, and safe entertainment for
Manufacturer Supplier Consultant Agent their guests, maintaining the highest standards in quality
and service.
In what year did your firm open for business?
3. To conduct their businesses on the highest plane of
What product or service do you provide to the industry? integrity, honesty, and social responsibility.
4. To foster and maintain a spirit of cooperation and fair
INDIVIDUAL: Annual Membership Dues: $ 399 | € 309 dealing for buyers and sellers, maintaining the principles of
Any individual who is a former employee of a facility, employee of an affiliated industry, or engaged in the development of a confidentiality, intellectual property protection, and agreed
facility is eligible for this category. contractual terms.
Please indicate affilliation (check only one): 5. To establish and maintain cordial and respectful relations
Former facility employee. What facility did you work for? with their fellow members worldwide.
Employee of an affiliated industry. Who do you work for?
We believe that these principles must be carried out by each
Developing a facility. In what year do you plan to open your operation? member individually in order to foster and promote our industry
Note: Individual IAAPA membership is NOT transferable to any other individual, and only the individual in whose name the and to protect its excellent reputation of delivering safe family fun.
membership is registered has access to IAAPA benefits.
I have read the IAAPA Member Code of Conduct. To the best of
YOUNG PROFESSIONAL/STUDENT: Annual Membership Dues: $ 49 | € 39 my knowledge, the information contained in this application is
Individuals 35 years of age or younger and employed by an IAAPA member in good standing are eligible for the young professional true, complete, correct, and is made in good faith. I understand
classification. Any individual who is a part-time or full-time student at a higher education institution is eligible for the student classification. that IAAPA reserves the right to verify any or all the information
A) Young Professionals: on this application:
• 35 years of age or younger (proof of age to be submitted) and
• Be employed by an IAAPA member in good standing
B) Students: FOR OFFICE USE ONLY
• Part or full-time student at a higher education institution (proof to be submitted annually).
PC: MC: ID#:
Note: To qualify for a Young Professional/Student membership, please submit supporting documentation with your application.