Planning Application Form - Illinois
JOIN APA
Receive Planning and a lot more! Visit planning.org
for complete details or to join online.
I’d like to subscribe to Planning magazine without joining APA. (APA membership includes a
subscription to Planning.) A one-year subscription (11 issues) is $85.
Check enclosed payable to APA
Bill me (member services will begin when APA receives full payment)
MasterCard Visa American Express Discover
Card number Expiration date
Cardholder’s name (please print)
Cardholder’s signature (required)
All APA members receive Planning magazine. To
accord with postal regulations, $30 of member ship
dues support the magazine. Dues are not tax-
deductible as a charitable contribution. Dues may
be considered as a business expense, except 17
percent of California chapter dues, which are
allocated to chapter lobbying costs.
1
This will be your e-mail address of record. APA will
use it to conduct electronic voting, deliver
member benets, and perform other
administrative tasks.
2
Student verication required — please complete
the form above.
Former APA members are not eligible to re-join as
student members.
Joining as a student member enters you into APA’s
Early Career Membership Program. Learn more at
planning.org/earlycareer.
3
APA welcomes members from outside the U.S.
Learn more and join at planning.org/join
/international.
4
Your chapter corresponds to your preferred
mailing address.
APA also oers aordable group planning board
membership to agencies that enroll multiple
commissioners. Learn more at planning.org/join/
commissioners.
Prices are subject to change.
Name Mr. Ms. Mrs. APA ID (former members only)
Employer name
Employer address Department
City State ZIP
Office phone number Fax number
Home address
City State ZIP
Home phone number E-mail address (required)
1
M REG
Fill in the column for the membership type requested Regular Student
2
National Dues
3
(see table on reverse) $ $40
Chapter Dues
4
$ $10
Chapter membership is mandatory for U.S. members.
JAPA (optional); Quarterly
Print & online $48 ($24 APA student members) $ $
Online edition is free to first-year student members
APA Divisions (optional)
See table on reverse. Enter division codes below $ $
and total division dues at right.
Total $ $
I verify that I am a full-time student at the
school named below.
Name of college/university
Student ID #
Expected graduation date
APA Membership Dues
Student Verication
Tell Us Where to Send
Invoices
Home Employer
Publications
Home Employer
Fax credit card payments
to 312-786-6700
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Planning Application Form - Illinois PDF
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