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AMERICAN INSPECTION SOCIETY Application
American Inspection Society
P.O.Box 840721
Houston, TX 77284-0721
USA
Date:________
Name____________________Employer___________________________
Address_________________Address____________________________
C/S/Z____________________ C/S/Z____________________________
Home Phone (___) ___________ Work Phone (___)_______________
Spouse _____________________ Work Phone (___)_______________
Age _____U.S.A.Citizen___Naturalized Alien_____Number_______
Second Language_____________. Email address__________________
Years served as a full time inspector in the energy or related field_______.
PLEASE ATTACH AN UP TO DATE RESUME COVERING EMPLOYERS AND EDUCATION WITH THIS APPLICATION.
Recommended for membership by AIS member_______________________
Membership Class Requested________________.
(See Levels of Membership below.)All amounts are US dollars annually.
ATTACHED IS: $25.00 Annual dues and $15.00 One-time Application Fee In USA. Foreign Members add $50.00/yr. mail handling fees. Fees are subject to change with mail rates and annual dues.
Corporate Membership $75.00,
Corporate sponsor, Newsletter/Advertiser, Banner size $135;Business card size $90.
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REVIEW BOARD
Name___________________#_____ ________Yes_____No________________
_____________________________ ________Yes_____No________________
_____________________________ ________Yes_____No________________
ASSIGNED MEMBER NUMBER _________
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LEVELS OF MEMBERSHIP
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Regular Member: Full rights of membership including voting, holding office, commitee service and social activiites. Requirements: a mimimum of five (5) years experience in performing the duties of a professional Quality Inspector.
Associate Member: An associate has all rights of membership except holding elective office. Requirements: shall have a minimum two (2) years experience in performing the duties of a professional Quality Inspector.
Senior Member: A senior member shall have met all the qualifications for regular membership, plus have been a regular member for at least (5) years, and become disabled or retired at age 65 from full-time pursuit of the profession. They retain all rights of membership.
Corporate Member: *A special class of membership. Full rights of membership, office holding and committee service are extended for up to three (3) representatives designated by the corporate authority. *Each representative shall meet the qualifications required for regular membership. We are Equal Opportunity Organization compliant.
rev.12-04
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Applicants MUST mail in their application. Optionally you may cut and paste your information into the application, include your resume as an inline word document,and mail dues and fees required to the return address. An acknowledgement will be sent to you via regular mail by your full name. A receipt will be emailed to you if you want to pay via the internet via PAY PAL.
AMERICAN INSPECTION SOCIETY NOW ACCEPTS YOUR ANNUAL DUES PAYMENTS FOR YOUR CONVENIENCE THROUGH YOUR PAY PAL VERIFIED / INFORMATION ENCRIPTED ACCOUNT.PLEASE REVIEW THE AMERICAN INSPECTION SOCIETY, INC. POLICY ON LIABILITY AT THE READERS LIABILTY / AGREEMENT SITE PRIOR TO USING eBAY's PAY-PAL. See the LINK BELOW entitled: READERS AGREEMENT / LIABILITY.
New members may also use the same payment method. Simply click on the Pay PAL logo and follow the Icon Instructions. Should you have any questions feel free to CONTACT AIS at the email link listed below. Money Orders for US Dollars may also be mailed to our return address.
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