This will be a SECURE transaction, certificate issued by VeriSign.

Your Full Name
(required)
Position

Organization Name
(required)

Organization Name2

Address1
(required)
Address2

City, State, Zip
(required)

Business phone number
(required)

FAX Number

Internet electronic mail address

Birthday

Please list the college/university where you obtained your undergraduate degree

Please list the college/university where you obtained your graduate degree

Briefly describe your work experience:

I am a current AAAE member. My membership number is

If not a current member, please indicate which membership category you'd like to join, or visit the Membership page.

Affiliate: $225
Participating: $275
Associate: $325
Corporate: $650
Military: $150
Academic Graduate: $150*
Upgrade Student Member to Academic Graduate: $110*
* Your application will be put on hold until we receive proof of current enrollment at the recognized college or university that you are attending. Or, you may print this application and mail or fax it with your proof. Proof may consist of a copy of your current class schedule, your student I.D. card -with expiration date- or a copy of your transcripts, etc. You must be a full-time student to be accepted as an Academic member of AAAE.

Fee for the Certified Member Program is $200. Please select a payment type: (required)

Purchase Order (PO) Number
MasterCard
Visa
American Express

If credit card payment
Credit card number Expiration

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