STC Membership Application

I hereby apply for initial membership in the grade of [ ] Member [ ] Student
I hereby apply for reinstatement. [ ] (My membership lapsed in ___ (year). My membership grade at that time was ________.)

[ ]Mr. [ ]Mrs. [ ]Ms.

____________________________________________________________________________
First Name / Middle Initial / Last Name

____________________________________________________________________________
Employer (only if part of mailing address)

____________________________________________________________________________
Street Address

____________________________________________________________________________
City / State / Country / Zip

______________________________________
Daytime Telephone

______________________________________ ______________________________________
Fax Number / e-Mail Address

_________________________________________________________________
Employer/School (if not included in above address)

Please check all that apply.
[ ] Do not include my name on lists rented to qualified advertisers.
[ ] Do not list me in the online STC Membership Directory.
[ ] Do not include my mailing address in the STC Membership Directory.
[ ] Do not include my phone, fax number, or e-mail address in the STC Membership Directory.
[ ] I do not wish to receive STC-related announcements via e-mail. 

SPECIAL INTEREST GROUPS:
(You may sign up for as many Society-level SIGs as you choose -- there is s $5.00 administrative fee for each Society-level SIG.)
[ ] Consulting and Independent Contracting
[ ] Education and Research
[ ] Emerging Technologies
[ ] Environmental Safety and Health
[ ] Illustrators and Visual Designers
[ ] Indexing
[ ] Information Design
[ ] International Technical Communication
[ ] Lone Writer
[ ] Management
[ ] Marketing Communication
[ ] Online Information
[ ] Policies and Procedures
[ ] Quality
[ ] Scientific Communication
[ ] Technical Editing
[ ] Usability

MEMBERSHIP RATES:
[ ] New Member $140 ($125 dues $15 enrollment fee)
[ ] Reinstatement $140 ($125 dues $15 reinstatement fee)
[ ] Student $50 ($50 dues. $15 enrollment fee not required.)

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 Name ___________________

OVERSEAS POSTAGE
[ ] Overseas members: Please add $33 for 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 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.)
[ ] VISA [ ] MasterCard [ ] American Express
Card# __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__

Expiration Date _______________ Signature ____________________________

AMOUNT PAID:
Membership Dues _______

Overseas Postage _______ (if applicable)

Special Interest Groups
( ______ x $5.00) _________

Total Member Dues _______

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 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 closest chapter 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 __________________

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.

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 ST., SUITE 904
ARLINGTON, VA 22203-1854
(703) 522-4114
(703) 522-2075 FAX
membership@stc.org
www.stc.org