STC MEMBERSHIP APPLICATION I hereby apply for initial membership in the grade of [ ]Member [ ]Student I hereby apply for reinstatement. [ ] (My membership lapsed in ____. My membership grade at that time was _____________________________________.) Mr./Mrs./Ms. _______________________________________________________________________ First Middle Initial Last _________________________________________________________________________ Employer (only if part of mailing address) _________________________________________________________________________ Street Address _________________________________________________________________________ City State/Country Zip/Postal Code ( ) ( ) __________________________________ _____________________________________ Daytime Telephone Fax Number __________________________________ _____________________________________ E-mail address Year of Birth (for demographic purposes only) Please check all that apply. [ ] Do not include my name on lists rented to qualified advertisers. [ ] Do not list me in the STC online Membership Directory. [ ] List me in the online Membership Directory, but exclude the following: [ ] mailing address [ ] phone number [ ] fax number [ ] e-mail address [ ] I do not wish to receive STC announcements via e-mail. MAJOR JOB FUNCTION (Check all that apply.) [ ]Consultant [ ]Educator [ ]Manager [ ]Contractor [ ]Graphic Artist [ ]Online Help Developer [ ]Documentation Specialist [ ]Indexer [ ]Translator [ ]Editor [ ]Information Developer [ ]Web Developer [ ]Writer [ ]Other _______________ SPECIAL INTEREST GROUPS (You may sign up for as many Society-level SIGs as you choose -- there is a $5.00 administrative fee for each SIG.) [ ]Consulting and Independent Contracting [ ]Lone Writer [ ]Education and Research [ ]Management [ ]Emerging Technologies [ ]Marketing Communication [ ]Environmental, Safety, and Health [ ]Online Information [ ]Illustrators and Visual Designers [ ]Policies & Procedures [ ]Indexing [ ]Quality [ ]Information Design [ ]Scientific Communication [ ]Instructional Design & Learning [ ]Technical Editing [ ]International Technical Communication [ ]Usability DUES [ ] Member $140 ($125 dues - $15 enrollment fee) [ ] Student $50 ($50 dues - $15 enrollment fee not required. Students must complete the student member section of this application.) OVERSEAS POSTAGE [ ] Overseas members: In addition to dues, please add $33 to partially offset the additional cost of 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 your 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. Credit card payments cannot be taken by phone.) [ ] VISA [ ] MasterCard [ ] American Express Card# _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiration Date _ _ / _ _ _ _ Signature_______________________________ Amount Pd.: Dues $__________ Overseas Postage (if applicable) $__________ Special Interest Groups (total # from above x $5.00) $__________ Total $__________ INITIAL 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. Note: A faculty member must verify your status by printing and signing their name below. STUDENT USE ONLY: School_____________________________ Degree Date_________ I certify that the named individual is enrolled in an accredited university, college, community college, or technical school and is taking at least two courses or their equivalent each term. Signature of Faculty Member _________________________Print________________ CHAPTER AFFILIATION From the STC bylaws, Article IX, Section 3: "All members residing or working within the approved boundaries of a chapter are assigned to that chapter. However, a member may request a specific 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 chapter closest to your mailing address. If there is another chapter nearby that you would prefer, please indicate:__________ By joining, you agree to abide by the STC Bylaws. Signature __________________________________ Date ____________________ ADDITIONAL INFORMATION Annual dues are payable to STC on January 1 (membership year ends on December 31). Membership may not be transferred or assigned to another person. STC dues are tax deductible. A receipt and membership card will be mailed to you after your payment is received. New members joining on or after July 1 (but before October 1) pay full dues for the remainder of the year (ending December 31). However, they receive a credit of 50 percent toward the following year's dues. New members joining on or after October 1 receive full credit for the following year. 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. Fifteen dollars is applied toward a subscription to the quarterly journal, Technical Communication, and $15 is applied toward the monthly magazine, Intercom. Please Mail or Fax this application and payment to: Society For Technical Communication 901 N Stuart Street, Suite 904 Arlington, VA 22203-1822 (703) 522-4114 (703) 522-2075 FAX membershipstc.org www.stc.org