I hereby apply for (intial membership / reinstatement) in the grade of (Member / Student)

(My membership lapsed in 19.)

First Name:
Last Name:
Employer:
Address:
City:	State: ZIP:
Country:	Telephone:
E-Mail:

Please check all that apply:

Do no include my phone number in the membership directory
Do not include my name in the membership directory
Do not include my name on lists rented to qualified advertisers
Do not mail me the membership directory

MEMBERSHIP RATES

New Member $110 ($95 dues, $15 enrollment fee)
Reinstatement $110 ($95 dues, $15 reinstatement fee)
Student $40 ($40 dues, $15 enrollment fee not required.)

STUDENT USE ONLY:

Signature of Faculty Member: ___________________________

Name of Faculty Member:

OVERSEAS POSTAGE

Overseas Members: Please add $25 fo additional overseas postage.

PAYMENT METHOD

Check/Money Order

(Make checks payable to STC. Please mail this form with your check in U.S. dollars or the equivalent amount in Canadian dollars. For overseas members, please make you r check payable in U.S. dollars drawn on a U.S. bank. Payment by credit card is encouraged.)
Credit Card

(Please supply the information requested below.)
VISA
Mastercard


Card Number:
Expiration Date:




Signature: __________________________________

Amount Pd.:

Dues:
Overseas Postage:
Total:



MAJOR JOB FUNCTION (Check all that apply.)
Writer/Editor
Consultant
Educator
Graphics/Art/Audiovisual
Manager/Supervisor
Other

CHAPTER AFFILIATION

From the STC bylaws, Article IX, Section 3: "All members residing or working with-in the approved boundaries of a chapter are assigned to that chapter. However, a member may request a speci fic chapter affiliation where more than one chapter is in bounds. A member may belong to only one chapter at a time." In accordance with the bylaws, you will automatically be assigned to the closest chapter to your mailing address. If there is another c hapter nearby that you would prefer, please indicate:

Chapter Preference:




By joining, you agree to abide by the STC Bylaws.

Signature __________________________________ Date ______________

GRADES OF MEMBERSHIP

MEMBER: Must be actively engaged in some phase of technical communication or be interested in the arts and sciences of technical communication or in allied arts and sciences. After five years of membership, members advance to the grade of senior member.

STUDENT MEMBER: Must be enrolled in an accredited university, college, community college, or technical school; be taking at least two courses or their equivalent each term; and be preparing for a career in technical communication.

Annual dues are payable to STC on January 1 (membership year ends on December 31). New members enrolled on or after October 1 receive full credit for the following year. New members joining on or after July 1 and before October 1 receive a credit of fifty percent toward the next year's dues. Dues are paid to the Society for Technical Communication and include membership in a local chapter. Initial chapter assignment is made upon approval of the membership application, and a portion of each member's dues is rebated to the local chapter; $9 is for your subscription to th e quarterly journal, Technical Communication, and $7 is for the monthly newsletter, Intercom.

Mail to:

SOCIETY FOR TECHNICAL COMMUNICATION
901 N STUART ST., SUITE 904
ARLINGTON, VA 22203-1854
(703) 522-4114
(703) 522-2075 FAX
stc@tmn.com