Application Form                  for collegiate membership                                                               ...
Application Form                     for collegiate membershipJoin Your Local Professional ChapterAs a Collegiate member, ...
Upcoming SlideShare
Loading in...5
×

Ama collegiate application

107

Published on

Published in: Education, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
107
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
1
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Ama collegiate application

  1. 1. Application Form for collegiate membership 800.AMA.1150 • 312.542.9001 FaxFill out this form completely, including acquiring a Faculty Sponsor signature (below) and signing the Statement of Ethics on the second page.Please print all information. Return your form with the appropriate payment via fax or mail tothe AMA (see fax number above or mailing address below) and your Collegiate Chapter. USE FOR MAIL OR FAX APPLICATIONS ONLYApplicant InformationSend all mail to my: School Address Home Address Check here if you are a prior member of the AMA.College/University ___________________________________________________________________________________________________________________________________ Mr. Ms. Last Name _________________________________________________ First Name ________________________________________ Middle Initial ______Home Address (required for membership) __________________________________________________________________________________________________________________City ______________________________________________ State/Province _______ Zip/Postal Code ______________ Country _________________________________Home Phone ( _______ )__________________________________________________ Home E-mail ____________________________________________________________School Address (if different than above)____________________________________________________________________________________________________________________City ______________________________________________ State/Province _______ Zip/Postal Code ______________ Country _________________________________School Phone ( _______ ) _________________________________________________ School E-mail ____________________________________________________________Degree Currently Attaining: Undergraduate Graduate Doctorate Graduation Date: Month _____________________ Year _____________________Payment InformationA) National AMA Dues* B) Collegiate Chapter Dues National Membership Dues $47.00 (includes online subscription to Marketing News) IMPORTANT: Local Professional Chapter Dues You must belong to the national AMA headquarters to belong (optional for Collegiate Membership—see reverse side for listing and add appropriate dues here. For more information, visit to a Collegiate Chapter. You’ll need to make two payments: MarketingPower.com/chapters) Chapter Name _______________________________ +$_________ 1) The national AMA headquarters Total from Section A—“National AMA Dues” on this application. Membership Dues Subtotal = $_________AMA Publications at Special Member Prices 2) Your local Collegiate Chapter (in addition to Annual Membership Dues) Please check with your chapter on campus for dues and Marketing Management magazine (Quarterly) + $32.00 payment information. Marketing Research magazine (Quarterly) $30.00 Marketing Health Services magazine (Quarterly) $30.00 Journal of Marketing (Bimonthly) $35.00 Name of University or College Journal of Marketing Research (Bimonthly) $35.00 Journal of International Marketing (Quarterly) $30.00 Journal of Public Policy & Marketing (Semiannual) $30.00 Publications Subtotal = $_________Total Amount Due Faculty Sponsorship Add Membership Dues and Publications Subtotals = $__________ (This application cannot be processed without a Faculty Sponsor signature.) Send payment to: American Marketing Association, I hereby certify that this applicant is a full-time or part-time registered 311 S. Wacker Drive, Suite 5800, Chicago, IL 60606-6629 student not currently employed in a professional position.Method of Payment Check (payable to the AMA in U.S. funds drawn from a U.S. bank—DO NOT SEND CASH) Faculty Sponsor Signature American Express Discover MasterCard VISA Card Number 3-Digit Security Code Exp. Date * AMA membership is individual and nontransferable. » Signature Date continued
  2. 2. Application Form for collegiate membershipJoin Your Local Professional ChapterAs a Collegiate member, you may also join your local Professional Chapter at a special student rate. Your active participation in an AMAProfessional Chapter will provide the connections, career information, networking and leadership opportunities that you will find nowhere else.Professional Chapters exist in more than 75 communities throughout North America, and are valuable resources for students looking for importantindustry news and programs. Professional Chapters offer a variety of seminars, speaker programs, networking events and other benefits.To join a Professional Chapter, find the dues below and add that amount to the Payment Information on the first page of this application.For more information on AMA Professional Chapters, or to find the Professional Chapter in your area, visit our website atMarketingPower.com/chapters or call 800.AMA.1150.Local Professional Chapter ListingsALABAMA HAWAII MISSOURI RHODE ISLANDBirmingham .......................................No Dues Hawaii............................................................ $5 Kansas City ........................................No Dues Southeast New England............................. $10 St. Louis .............................................No Dues SOUTH CAROLINAALASKA ILLINOISAlaska (Anchorage) ..................................... $15 Central Illinois NEBRASKA Charleston ................................................... $10 Greater Omaha ........................................... $10 TENNESSEEARIZONA (Bloomington/Champaign/Peoria) ......... $2 Lincoln ........................................................ $10 Knoxville ..................................................... $40Tucson........................................................... $5 Chicago ....................................................... $25Phoenix .......................................................... $8 NEVADA Nashville...................................................... $15 INDIANA Las Vegas .................................................... $10CALIFORNIA TEXAS Indianapolis ................................................... $5 Reno/Tahoe .................................................. $5 Austin............................................................. $5Inland Empire Michiana (South Bend/Elkhart) .................. $5 NEW JERSEY Dallas/Ft. Worth .......................................... $5 (Riverside/San Bernardino) ................... $15 IOWA New Jersey* (Newark)................................ $10 Houston..............................................No DuesOrange County ........................................... $10 San Antonio .......................................No DuesSacramento Valley ........................................ $5 Iowa (Des Moines) ....................................... $0 NEW MEXICOSan Diego ...................................................... $5 KANSAS New Mexico (Albuquerque) .............No Dues UTAHSan Francisco Bay Area .............................. $15 Utah (Salt Lake City) ................................. $10 Kansas City ........................................No Dues NEW YORKSilicon Valley Wichita ...................................................$12.50 New York* (City)........................................ $15 VIRGINIA (Santa Clara/San Jose) ........................... $10 NY Capital Region (Albany).............No Dues Central VirginiaSouthern California KENTUCKY Rochester....................................................... $5 (Charlottesville) ....................................... $2 (Los Angeles) .......................................... $10 Louisville ....................................................... $5 Hampton Roads (Norfolk)......................... $15 NORTH CAROLINA Richmond ...................................................... $5COLORADO LOUISIANA Charlotte ....................................................... $5Colorado (Denver) ....................................... $5 New Orleans ................................................. $3 Triangle (Raleigh) ...................................... $10 WASHINGTON Puget Sound (Seattle) ................................... $5CONNECTICUT MARYLAND OHIOConnecticut (Hartford) ................................ $5 Baltimore ....................................................... $5 Akron/Canton ............................................... $5 WISCONSINFairfield County............................................ $5 Cincinnati .................................................... $10 Madison ......................................................... $8 MASSACHUSETTS Cleveland..................................................... $10 Milwaukee ..................................................... $5DISTRICT OF COLUMBIA Boston.......................................................... $10 Columbus ...................................................... $5 U.S. TERRITORY OF GUAMWashington, DC ........................................ $10 Dayton ........................................................... $5 MICHIGAN Guam ........................................................... $20FLORIDA Detroit ........................................................... $5 OKLAHOMA Oklahoma City ..................................No Dues CANADACentral Florida (Orlando)............................ $5 Michiana ........................................................ $5 Tulsa .............................................................. $5 British Columbia (Vancouver)..........No DuesJacksonville .................................................... $5 West Michigan Province of Québec/Montreal..........No DuesSouth Florida OREGON (Grand Rapids) ......................................... $5 Toronto ......................................................... $5 (Ft. Lauderdale/Miami) ........................... $5 Oregon (Portland) ...................................... $10Southwest Florida (Naples/Ft. Myers) .... $20 Southwest Michigan Willamette Valley ....................................... $25Tampa Bay .................................................... $5 (Kalamazoo/Battle Creek) ...................... $20 PENNSYLVANIA * Individuals living in the New Jersey/New YorkGEORGIA MINNESOTA Philadelphia................................................... $5 area have the option of joining the New JerseyAtlanta ......................................................... $20 Minnesota (Minneapolis) ............................. $5 Pittsburgh .................................................... $15 chapter, the New York chapter, or both.Save Money After Graduation with a Young Professional MembershipUpon graduation, you are eligible to renew as a Professional member Professional membership will help you to stay on top of all theat less than half the price through the AMA ’ s Young Professional important industry news and trends that will keep you competitive inMembership Program. Young Professional membership offers the your career. Especially at the start of your career, you’ll want to takefull benefits of Professional membership, and is available only to advantage of the opportunities you’ll find through membership with therecent graduates. world’s largest organization of marketers, the AMA.Statement of Ethics In order to validate your application, you must sign this Statement of Ethics.As an AMA member, I agree to abide by the AMA Statement of Ethics Any AMA member found to be in violation of the Statement of Ethicswhich guides marketers’ professional conduct. may have his or her Association membership suspended or revoked.• The basic rule of professional ethics: not knowingly to do harm. A complete copy of the AMA Statement of Ethics is available online• The adherence of all applicable laws and regulations. at MarketingPower.com. In order to validate your application, please sign the Statement of Ethics.• The accurate representation of my education, training and experience. I subscribe to the Statement of Ethics and will adhere to it:• The active support, practice and promotion of this Statement of Ethics. Signature Date 0711

×