Return to ATMAE Home Page

ATMAE Membership Application

Use this form to pay by credit card or to request an invoice if you have a Purchase Order Number (PO#) from your institution.
ATMAE will not bill you for membership without receiving a PO#!

TO PAY WITH A CHECK/MONEY ORDER: Return to www.ATMAE.org Membership section and print the PDF application.
Please complete all information requested:

Remember, you may select (1) one Membership Class with your paid membership and any number of Divisions at no charge.


GENERAL INFORMATION:

Title: First Name: MI: Last Name:
Mailing Address: Company or School:

Address 1: Address 2:

City: State: Zip: Country:

Telephone: Fax: E-mail:

Gender: Male Female

Age:

Payment Type:

CERTIFIED MEMBERS: If you are renewing your membership and you are certified, please email the ATMAE office (atmae@atmae.org) to authorize payment of your $20.00 Certification renewal.


Membership Class (check one):
Professional 4 Year Academic Professional 2 Year Academic Professional Industry Organizational Retired Student

Divisions (check all you wish to join):
Community College & Technical Institute
Construction
Electrical, Electronics & Computer Technology
Graphics
Management
Manufacturing
Safety
Student
University
Women in Technology

Focus Group
Distance & Online Learning
Nanotechnology

PROFESSIONAL MEMBERSHIP:

Professional...$80.00
Professional Industry - New Graduate...$20


STUDENT MEMBERSHIP:

Regular...$20.00 Student Chapter (optional - type in name of chapter):

Grade Level:
Freshman Sophmore Junior Senior Master Doctoral

Community College or University:
Community College University

Anticipated Date of Graduation:


ORGANIZATIONAL MEMBERSHIP:

Regular...$240.00


RETIRED MEMBERSHIP:

Retired...$20.00


Misc Payment (Enter description of the payment in the Payment Description field)

Misc Amount:
Misc Amount Description:


PAYMENT INFORMATION:

Please bill me (Must Have a Purchase Order Number) Charge to Visa Charge to MasterCard

PO# (Required for ATMAE to bill you.): (Must Enter a Valid PO Number)

Name as it appears on credit card:

Credit Card Billing Address 1:
Credit Card Billing Address 2:

Bill City: Bill State: Bill Zip:

Bill Phone (Incl Area Code):

Card Number (no spaces, / or -): Expiration Date (mmyy): CVV Code:

I would like to donate to the ATMAE Foundation, please accept the following Donation amount
and add it to my membership application: Foundation Donation (enter dollars and cents):


Return to ATMAE Home Page