Individual Member Application: Center Membership

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Individual Member Application aeecenter.

org/membership
Please Type or Print All Information - Mail, Fax or Complete Online
YES, I wish to become a member of the Association of Energy Engineers in the member classification checked. My payment in the appropriate
amount is enclosed. (Membership cannot be processed unless payment is included with application form.)
Mr.
Ms. PROFESSIONAL ENGINEERS
If you are a registered Professional Engineer or Architect, indicate state(s) and
Name registration number(s):
Years
Title State No. Experience in
Energy Field
Company/Organization State No.
EDUCATION
Street Address
University 1 Degree
City State Zip
Field Year
Country
University 2 Degree

Phone Fax
Field Year
I certify that the statements in this application are correct and I agree,
Email if elected, that I will be governed by the Constitution and Bylaws of the
Association as long as I continue as a member. I furthermore agree to promote
the purposes of the Association so far as shall be in my power.
Referred by (Chapter or AEE Member Name)
PAYMENT X
Applicant’s Signature
Full Payment Enclosed: $
(Payable in U.S. funds to the Association of Energy Engineers) ENROLLMENT & ANNUAL DUES
MEMBER/$195.00 – An individual with an engineering, architectural, business, or law

Bill credit card in the amount of $ degree or a registered Professional Engineer or Architect.*
AFFILIATE MEMBER/$195.00 – An individual interested in the objectives of AEE who

VISA MasterCard American Express Discover is in a related field.
SENIOR MEMBER/$195.00 – An engineering graduate or registered Professional

Engineer or Architect with six years of experience in energy engineering or energy
Credit card number CCV management.
YOUNG ENERGY PROFESSIONAL MEMBER/$50.00 – An individual under 25 years

X of age with an engineering, architectural, business, or law degree or a registered
Professional Engineer or Architect. Please include birth date: ___/___/___
Authorized Signature of Cardholder (required) Expiration Date
STUDENT MEMBER/$15.00 – An individual who is a full-time matriculated student.

Credit Card Billing Address (Where credit card bill is sent) (Send evidence of full-time student status.)
CORPORATE DELEGATE/$160.00 – An individual employed by an AEE corporate

member.
Name on Card (Print) LIFE MEMBER/$1495.00 – Includes membership to all divisions of AEE.

RETIRED MEMBER/$15.00 - An individual no longer involved in any career activity.

Street Address * Persons who are qualified by experience


or related degree may petition in writing for
full membership consideration.
City State Zip

3168 Mercer University Drive | Atlanta, GA 30341 | USA


Country Tel: (770) 447-5083 | Fax: (770) 447-4354

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