LEAP Membership Application

Application For Membership – Please type or print

Name__________________________Date_______________DOB___________

Address__________________________________________________________

City___________________________State_______________Zip____________

Home Telephone (_____)_____________Email__________________________

Place Of Employment_______________________________________________

Position Held______________________________________________________

Your Firm’s Client Base – Government (___) Commercial (__) Residential (___)

Autodesk Software You Use__________________________________________

How many years have you been using Autodesk products?_________________

Have you ever used products that compete with Autodesk such as Bentley?____

If Yes, please specify manufacturer and pertinent releases (i.e. 2009)

________________________________________________________________

Type of membership requested

Student - $15 per year – partial year be prorated @ $1.25 per month

Individual - $30 per year – Partial year prorated @ $2.50 per month

Corporate
$150 per year for 1 – 7 employees (New Corporate Memberships prorated @
$12.50 per month)

$300 per year for 8 – 15 employees (New Corporate Memberships prorated @

$25 per month)

$500 per year for 16 or more employees (New Corporate Memberships prorated
@ $41.50 per month)

I have been provided with the bylaws, reviewed them and agree to abide by them

Signature________________________________________Date_____________