Application
Application / Joining
Instructions:
Our apologies. At the moment we do not have credit card processing available for U.S. members. Please follow these simple steps:
| 1. | Print form to the right. |
| 2. | Fill it out. Please print. |
| 3. | Make check or money order payable to ACCU (U.S.A.) and; |
| 4. | Send to: |
|
ACCU (U.S.A.) 1330 Trinity Dr. Menlo Park, CA 94025 |
Questions? Please contact:
Reg. Charney
1330 Trinity Dr.
Menlo Park, CA 94025-6680
U.S.A.
T: +1-650-233-9082
F: +1-650-233-9088
E: accu@CharneyDay.com
ACCU – Membership Application
PLEASE PRINT (Required fields are in bold)
| Member# (if existing member): | |||||
| Full Name: | |||||
| Work / School: | |||||
| Street: | |||||
| City: | State: | Zip: | |||
| Work Phone: | Home Phone: | ||||
| Email: | |||||
| Interests: | |||||
|
Is address given: Home[ ]? or Work / School [ ]? |
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Membership Subscriptions and Annual Rates
| Regular ACCU membership (includes 6 bi-monthly CVu issues) | $45.00 |
| Advanced membership (Regular membership + 6 Overload issues) | $64.00 |
| Corporate Membership (5 CVu + 5 Overload = 5 C++ Specialists) | $220.00 |
Discounts (May not be combined with other discounts)
| [ ] Full-time student discount |
- 50% |
Extended Membership Offer: Your renewal date will be one of six bi-monthly dates nearest to your application date. You will receive the most recently published journals and the current handbook..
| Voluntary donations: To provide free membership to those unable to pay through financial hardship or national currency restrictions | $ |
| Total | $ |
Options: Please tick here if you do NOT wish your contact details:
| [ ] Do NOT publish my contact
information in the annual handbook [ ] Do NOT use my contact info for third parties. |