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2015 INFORMS Membership - Application1
2015 INFORMS Membership - Application1
org
Membership Effective Through December 31, 2015
1 Personal Information I have been a member of
INFORMS TIMS None
ORSA Omega Rho
First Name Middle Initial Last Name
EDUCATION
Institution: ____________________
Job Title Employer Highest Degree: (circle one)
PhD Masters Bachelors HS
Year: ______
Address work home
STUDENTS (need to verify current student status)
Institution: ________________________
City State Zip/Postal Country Advisor Name: ____________________
Advisor Email: ____________________
Phone Office Home Cell E-mail Please do not include me in:
EMPLOYER TYPE Non-INFORMS mail lists
Non-INFORMS E-mail lists
Primary Employment Classification Academic Type INFORMS E-mail
Academic (If primary employment classification is Academic) Online member directory
Government Business School INFORMS collects additional information to enable us to
Business Engineering School better describe our association and to better meet the
needs of our members. All data is confidential and will be
Consulting Mathematics/Math Sciences School used only for summary purposes. No individual member’s
Retired, underemployed, & other Other data will be shared. Your participation is voluntary.
PROFESSIONAL OR/MS ACTIVITIES Indicate ALL areas of professional OR/MS activities. Gender
Academic Research eCommerce Military Male Female Decline to Answer
Academic Teaching Environmental Mining, Oil/Gas Year of Birth
Agriculture, Forestry, Fishing Finance/Insurance NonProfit ___________ Decline to Answer
Analytics Govt (non-military) Pharmaceuticals Ethnicity
Arts and Entertainment Healthcare Real Estate White Black, African American
Author Info Systems & Tech Retail Asian American Indian or Alaska Native
Chemical/Process Law Enforcement Telecommunications Hispanic/Latino/Latina
Construction Manufacturing Transportation/Warehousing Native Hawaiian or Pacific Islander
Education Marketing Utilities, Water/Power Other Decline to answer
AFFILIATED PUBLICATIONS Military Operations Research Journal Print & Online U.S. $50 Print & Online International $75
Phalanx Magazine (online only FREE to MAS members) Print & Online U.S. $36 Print & Online International $54
CHAPTERS Regular/Student & Retired Please select no more than five chapters.
Atlanta $15/$15 Dallas/Fort Worth $12/$3 New Jersey $10/$3 Poland $0/$0 South Florida $5/$5
Austin $5/$5 Deep South $5/$0 New York Metro $30/$10 Richmond/Tidewater $10/$5 Southeastern Michigan $15/$5
Beijing $5/$0 Greater Kansas City $5/$0 Northern California $10/$10 Rocky Mountain $10/$5 Southeastern (U.S.) $6/$5
Boston $12/$6 Houston $5/$0 Northern Ohio $5/$0 St. Louis Gateway $8/$6 Southern California $9/$9
Chicago $15/$5 Japan $0/$0 Pacific Northwest $5/$5 San Antonio $5/$0 Taiwan $0/$0
Cincinnati/Dayton $10/$0 Korea $0/$0 Philadelphia $8/$0 San Diego $5/$0 Washington D.C. $25/$10
Connecticut $10/$10 Maryland $15/$10 (WINFORMS)
STUDENT CHAPTERS (free) Please select no more than five student chapters.
Air Force Inst of Tech Louisiana Tech U. Stevens Inst. of Tech U. of Delaware U. of Oklahoma
Arizona State U. Mississippi State U. Southern Methodist U. U. of Florida U. of Pennsylvania
Auburn U. Missouri U. of S & T Stanford U. U. of Georgia-Athens U. of Pittsburgh
California State U.-Fullerton MIT SUNY Buffalo U. of Houston U. of Puerto Rico
Carnegie Mellon U. Morgan State U. SUNY New Paltz U. of Illinois at Chicago U. of Rhode Island
Case Western Reserve U. National-Louis U. Texas A&M U. U. of Iowa U. of South Carolina
Columbia U. New York U. U.S. Air Force Acad U. of Louisville U. of South Florida
Cornell U. NC State U-Raleigh U.S. Coast Guard Acad U. of Maryland Balt Co U. of Texas at Austin
Florida Inst of Tech Northwestern U. U.S. Military Acad U. of Massachusetts U. of Texas at Dallas
Florida International U. Ohio State U. U.S. Naval Acad U. of Miami U. of Toronto
Fordham U. Oklahoma State U. U. of Alabama U. of Michigan U. of Virginia
George Washington U. Pace U. U. of Arizona U. of Minnesota U. of Waterloo
Georgia Inst of Tech Pennsylvania State U. U. of Arkansas U. of Missouri-Columbia U. of Wisconsin-Milwaukee
Iowa State U. Princeton U. U. of British Columbia U. of Missouri-St. Louis Virginia Tech-Business
Johns Hopkins U. Purdue U. U. of CA-Berkeley U. of N.C.-Chapel Hill Virginia Tech-Engineering
Lamar U. Rensselaer Polytech Inst U. of Cincinnati U. of North Texas Washington U. - St. Louis
Lehigh U. St. Johns U.
STUDENTS My section/society to receive free with my membership is: __________________________________________________________
NEW REGULAR MEMBERS My section/society/forum/chapter to receive free with my membership is: _____________________________
Communities Total __________________________
2 Membership Total ________________
5 INFORMS Total Due
3 Journals & Magazines Total ________________
PAYMENT CHECK Enclosed: Make payable to INFORMS
VISA
and must be drawn on U.S. bank in U.S. dollars.
MASTERCARD AMEX DISCOVER
4 Communities Total ________________
Total Due ________________
Card #