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Page 1: APA Memberform

JOIN APAReceive Planning and a lot more! Visit planning.org for complete details or to join online.

I’d like to subscribe to Planning magazine without joining APA. (APA membership includes a subscription to Planning.) A one-year subscription (11 issues) is $85.

Check enclosed payable to APA Bill me (member services will begin when APA receives full payment) MasterCard Visa American Express Discover

Card number Expiration date

Cardholder’s name (please print)

Cardholder’s signature (required)

All APA members receive Planning magazine. To accord with postal regulations, $30 of member­ship dues support the magazine. Dues are not tax­deductible as a charitable contribution. Dues may be considered as a business expense, except 17 percent of California chapter dues, which are allocated to chapter lobbying costs.

1This will be your e­mail address of record. APA will use it to conduct electronic voting, deliver member benefits, and perform other administrative tasks.

2Student verification required — please use form above.

Student membership is your entry to APA’s Early Career Membership Program, with five years of reduced dues and enhanced benefits. Learn more at planning.org/earlycareer/.

3APA welcomes members from outside the U.S. Learn more and join online at planning.org/join /international/.

4Your chapter corresponds to your preferred mailing address.

APA also offers affordable group planning board membership to agencies that enroll multiple commissioners. Learn more at planning.org/join/commissioners/.

Name Mr. Ms. Mrs. APA ID (former members only)

Employer name

Employer address Department

City State ZIP

Office phone number Fax number

Home address

City State ZIP

Home phone number E-mail address (required)1 M REG

Fill in the column for the membership type requested Regular Student2

National Dues3 (see table on reverse) $ $40

Chapter Dues4 $ $10

Chapter membership is mandatory for U.S. members.

JAPA (optional); Quarterly Print & online $48 ($24 APA student members) $ $ Online edition is free to first-year student members

APA Divisions (optional) See table on reverse. Enter division codes below $ $ and total division dues at right.

Total $ $

I verify that I am a full-time student at the school named below.

Name of college/university

Student ID #

Expected graduation date

APA Membership Dues

Student Verification

Tell Us Where to Send

Invoices Home EmployerPublications Home Employer

Fax credit card payments to 312-786-6700

Page 2: APA Memberform

RETURN TO:MEMBERSHIPAMERICAN PLANNING ASSOCIATION97774 EAGLE WAYCHICAGO IL 60678-9770

FAX 312-786-6700

Choose the range that reflects your salary and other professional income. APA and its members operate with integrity. Our salary-based dues structure depends on that integrity. Records are kept confidential.

APA National Dues (mandatory for regular members)

Division Code

City Planning & Management CITY_PLAN

County Planning CPD

Economic Development ECON

Environment, Nat. Res. & Energy ENVIRON

Federal Planning FED_PLAN

Gays & Lesbians in Planning GALIP

Hzrd. Mtgtn. & Disaster Rcvry. Plng. HMDR

Housing & Community Develop. HOUSING

International INTL

Latinos & Planning LAP

New Urbanism NEW_URB

Division Dues (optional)

Division Code

Planning & Law LAW

Planning & the Black Community PLAN_BLACK

Planning & Women WOMEN

Private Practice PRIVATE

Regional & Intergovernmental Plng. INTER_GOV

Small Town & Rural Planning SMALL_TOWN

Sustainable Communities SCD

Technology INFO_TECH

Transportation Planning TRANS

Urban Design & Preservation URBAN_DES

Each division is $25 for regular members; $10 for students.

Income Dues

Less than $42,000 $160

$42,000–$49,999 $190

$50,000–$59,999 $220

$60,000–$69,999 $245

$70,000–$79,999 $270

$80,000–$89,999 $295

$90,000–$99,999 $320

$100,000–$119,999 $350

$120,000 and above $380

Undisclosed $385

Chapter Regular StudentMass. $35 $10Mich. $60 $10Minn. $50 $10Miss. $35 $10Mo. $25 $10Natl. Cap.2 $30 $10Neb.1 25% APA dues $10Nev. $30 $10N.J.1 35% APA dues $10N.M. $40 $10N.Y. Metro $49 $10N.Y. Upstate $35 $10N.C. $40 $10N. New Eng.1,3 25% APA dues $10Ohio $45 $10Okla. $45 $10Ore. $55 $10Penna.1 45% APA dues $10R.I. $25 $10

Chapter Regular StudentAla. $30 $10Alaska $35 $10Ariz. $46 $10Ark. $25 $10Calif. $105 $10Colo.1 25% APA dues $10Conn.1 35% APA dues $10Del. $30 $10Fla.1 45% APA dues $10Ga. $35 $10Hawaii $25 $10Idaho $25 $10Ill.1 25% APA dues $10Ind.1 35% APA dues $10Iowa $34 $10Kan. $45 $10Ky. $35 $10La. $50 $10Md. $27 $10

1Round percentages of APA National Dues to the nearest dollar.

2Includes Washington, D.C.; Montgomery County, Md.; and Prince George’s County, Md.

3Includes Maine, New Hampshire, and Vermont.

4Includes Montana, North Dakota, South Dakota, and Wyoming.

Chapter Dues (mandatory for U.S. members)

Chapter Regular StudentS.C. $35 $10Tenn. $25 $10Texas $45 $10Utah1 25% APA dues $10Va. 35% APA dues $10Wash.1 25% APA dues $10W. Va. $45 $10W. Cen.1 $29 $10Wis. $45 $10