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    © All Rights Reserved
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    Download as pdf or txt
    36 views2 pages

    Sustaining Member App

    Uploaded by

    Joshua Mccarthy
    Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App. Sustaining Member App.

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    © All Rights Reserved
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    of 2

    2014 ACI Sustaining Membership Application

    American Concrete Institute 38800 Country Club Drive Farmington Hills, MI 48331 USA
    Phone: (248) 848-3800 Fax: (248) 848-3801 Web: www.concrete.org

    Please print or type all information requested


    1st Representative Information

    2nd Representative Information

    Organization

    Organization

    __________________________________________________________

    __________________________________________________________

    Representative: First Name, Middle Initial, Last Name (Surname)

    Representative: First Name, Middle Initial, Last Name (Surname)

    __________________________________________________________

    __________________________________________________________

    Title

    Title

    __________________________________________________________

    __________________________________________________________

    Business Address or P.O. Box Number

    Business Address or P.O. Box Number

    _______________________________________________________

    _______________________________________________________

    __________________________________________________________

    __________________________________________________________

    __________________________________________________________

    __________________________________________________________

    __________________________________________________________

    __________________________________________________________

    City

    State/Province

    Country

    ZIP/Postal Code

    Fax Number

    Telephone Number

    E-mail

    City

    State/Province

    Country

    ZIP/Postal Code

    Fax Number

    Telephone Number

    E-mail

    YES! We are interested in the extensive benefits afforded an ACI Sustaining Member. Please process our application immediately!
    Sustaining Membership is available to: A firm, corporation, society, research institute, educational organization, government
    or agency, utility, or other organization.
    $3,500.00 Annual Dues payment enclosed in U.S. Dollars payable to American Concrete Institute.
    ACI Sustaining membership dues

    $__3,500.00
    ____________

    Check ( #______________ )

    Total (U.S. Funds Only)

    $______________

    Charge to my:

    Visa Am. Express MasterCard


    ________________________________________ _______________
    Account Number
    Expiration Date

    ________________________________________ _______________
    Signature Date
    NOTE: Annual dues include two subscriptions to Concrete International, the ACI Structural Journal and the ACI Materials
    Journal. You also receive one copy of the Manual of Concrete Practice and a copy of every new ACI Publication issued during
    the year.
    Profile Information (Select all that apply.)
    Market

    Occupations

    Design
    Materials
    Production
    Construction
    Testing
    Repair
    Owner

    Management
    Consultant
    Engineer
    Architect
    Field Supervisor
    Technical Specialist
    Quality Control
    Inspector
    Craftsman
    Sales & Marketing
    Association
    Employee
    Government
    Employee
    Researcher
    Educator
    Student
    Other __________

    Areas of Interest

    Admixtures
    Aggregates
    Cementitious
    Materials
    Decorative
    Flatwork
    Floors/Slabs
    Formwork
    Maintenance
    Masonry
    Mixture
    Proportioning

    Precast/
    Prestressed
    Repair
    Residential
    Roads/Bridges
    Shotcrete
    Structural
    Sustainability
    Testing
    Tilt-Up

    Business
    Influence
    Local
    National
    Global

    Preferred
    Methods of
    Communications
    Mail
    E-mail

    For ACI Use Only:


    Member # ______________________ Anniversary Date _____________________

    Join the ranks of ACIs Sustaining Members and further your support
    while reaping benefits such as:

    A copy of each new ACI publication

    Committee membership opportunity ACI distinctive plaque

    Free Copy of The Manual of Concrete Practice


    2 subscriptions of Concrete International (Monthly)
    2 subscriptions of ACI Structural Journal (Bi-Monthly)
    2 subscriptions of ACI Materials Journal (Bi-Monthly)
    Additional free ACI document downloads per year
    Discounts on ALL ACI Publications

    Discounts on ALL ACI seminars and conventions


    (all employees company-wide)

    Special rates for group insurance and automobile rental


    Line of credit ($5,000)
    Monthly exposure in Concrete International
    Corporate logo displayed at each ACI Convention and at World of Concrete

    Corporate logo featured and hyperlinked on ACIs website,


    www.concrete.org

    Company given the option for first right of refusal to exhibit at each
    ACI Convention

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