2008 ACI Membership Application

American Concrete Institute P.O. Box 9094 Farmington Hills, MI 48333-9094 USA Phone: (248) 848-3800 Fax: (248) 848-3801 Web: www.concrete.org

Please print or type all information requested below:

Mr. Mrs. Ms. Dr.
FiRsT NamE

Gender: Female Male

MiddLE INiTiaL LasT NamE (suRNamE) CoRpoRaTE TiTLE

BiRThdaTE

EmpLoYER E-maiL addREss addREss ciTY STaTE

Zip couNTRY

TELEphoNE faX

Categories of membership

Please select the desired category of membership and submit the appropriate dues described below.

OrGaNiZatioNaL $950 PLUS aPPLicaBLe ShiPPiNG FeeS Includes one set of the Manual of Concrete Practice (MCP), a wall plaque, and a subscription to Concrete International and both ACI Materials & Structural Journals. MaNUaL oF CoNcrete Practice: Select a format and include applicable shipping fee: Six Volume Set U.S. and Canada add $20 shipping fee; outside U.S. and Canada add $150 shipping fee CD-ROM no additional shipping costs Online Subscription no additional shipping costs INdiVidUaL $213/year iNdicaTE subscRipTioN pREfERENcE Individuals 28 years old or above residing worldwide. YoUNG ProFeSSioNaL $119/year iNdicaTE subscRipTioN pREfERENcE Individuals under the age of 28 who do not qualify for student membership. E-StUdeNt FREE Join at www.students.concrete.org. STUDENT (U.S. aNd CaNada) $38/year iNdicaTE subscRipTioN pREfERENcE STUDENT (Outside U.S. and Canada) $77/year iNdicaTE subscRipTioN pREfERENcE Individuals under the age of 28 who are registered full-time students at an educational institution. Full-time students age 28 and above may be granted Student Membership when the request is endorsed by the students advisor. SUSTAINING MEMBERSHIP ACI Sustaining Members receive all membership benets of Organizational Members plus a free copy of every new ACI publication and increased corporate exposure, positioning them as a leader in the concrete industry, and much more. For complete details or to join, visit www.sustaining.concrete.org or call (248) 848-3800.

Your membership includes a subscription to Concrete International ($66 value) and a choice of either the ACI Structural Journal, ACI Materials Journal ($66 value), or the Concrete Repair Bulletin.
Please allow up to 2 months for delivery to countries outside the U.S.

Subscriptions

Please indicate preference: ACI Structural Journal ACI Materials Journal Concrete Repair Bulletin (CRB) (not available electronically) BOTH Journals or combination of Journal(s) & Concrete Repair Bulletin
Per additional publication, please include an additional $66 with annual dues payment. ($71 for individuals outside U.S. & Canada; $32 for U.S. & Canada students; $38 for outside U.S. & Canada students)

Do you prefer to receive your journals: On-line (Access to archive journals included) Via regular mail

Fees $ $ $ $ $

Membership dues Additional Journals Organizational six volume set shipping fees For Journals, Canadian residents add 5% GST (#126213149RT) TOTAL (U.S. Funds Only)

Payment
CHECK payable to American Concrete Institute CREDIT CARD Visa MasterCard
ACCOUNT NUMBER EXPIRATION DATE NAME (AS APPEARS ON CREDIT CARD) SIGNATURE CHECK NUMBER

Prole Information (Select all that apply.) Markets

Design Materials Production Construction Testing Repair Owner Association

Occupations
Management Consultant Engineer Architect Technical Specialist Quality Control Craftsman Sales & Marketing Researcher Educator Student Other

Admixtures Aggregates Cementitious Materials Decorative Flatwork Floors/Slabs Formwork Maintenance Masonry Mixture Proportioning

Areas of Interest

Precast/ Prestressed Repair Residential Roads/Bridges Shotcrete Structural Sustainability Testing Tilt-Up

Business Inuence
Local National Global

Preferred Methods of Communications

Mail E-mail

Indicate Occupation

FOR ACI USE ONLY CODE WEB

MEMBER NUMBER

ANNIVERSARY DATE