2021 Membership Application PO Box 4429

Danbury, CT 06813-4429 USA

Phone: Toll-free: 800.242.4363 (U.S.) or
Please return completed form to address/email. 1.203.702.7660 (Outside U.S.)
Web: www.aiche.org • Email: customerservice@aiche.org Fax: 203.775.5177

MEMBERSHIP INFORMATION

COMPANY / UNIVERSITY (If Applicable)

LAST NAME / SURNAME / FAMILY NAME FIRST NAME / GIVEN NAME

JOB TITLE

Mailing Address: Home Business

ADDRESS LINE 1 / BUILDING NAME / FLOOR

ADDRESS LINE 2 / STREET ADDRESS

CITY STATE / PROVINCE POSTAL CODE

COUNTRY

Gender Female Male Other For demographic purposes only.

Please Provide the Following Contact Information. (Required to process application. Used for Institute business only.)

HOME PHONE BUSINESS PHONE

PRIMARY E-MAIL ADDRESS SECONDARY E-MAIL ADDRESS

DEGREE (1) (M/D/Y) UNIVERSITY

DEGREE (2) (M/D/Y) UNIVERSITY

MAJOR(S)

YEAR OF BIRTH

U.S. Tax Deductibility: AIChE dues, including CEP subscription of $31, are tax deductible to the extent allowed by law. Please consult your tax advisor for
further information.

 The Board of Directors of the American Institute of Chemical Engineers adopted its Code of Ethics to which it expects that the professional conduct of its
members shall conform, and to which every applicant attests by signing his or her membership application.
aiche.org/about/governance/policies/code-ethics

© 2021 AIChE 5564_20 • 02.21

2021 Membership Application PO Box 4429
Danbury, CT 06813-4429 USA
Phone: Toll-free: 800.242.4363 (U.S.) or
Please return completed form to address/email. 1.203.702.7660 (Outside U.S.)
Web: www.aiche.org • Email: customerservice@aiche.org Fax: 203.775.5177

1 Select Your Membership Category 3 Select Technical Societies

What year did you receive your BS? Institute Dues Chart (U.S.) Mem Non-mem
Yr. of B.S. Degree Dues/yr. Advanced Manufacturing and Processing (AMPs) $75 $110
Before 2017 2018 2020 Before 2017 $199 Center for Innovation and Entrepreneuring Excellence (CIEE) $20 $300
2017 2019 2021 2017 $150
I am currently unemployed 2018 $100 Design Institute for Emergency Relief Systems (DIERS) $25 $75
I reside outside the U.S. 2019 $50 Institute for Sustainability (IfS) $25 $50
2020, 2021 $0 International Metabolic Engineering Society (IMES) $25 $50
If applying for full time Graduate Student Graduate Student $50
rate, please supply: International Society for Water Solutions (ISWS) $15 $50
Unemployed $50
Postdoctorate $75 Regenerative Engineering Society (RES) $15 $100
Researcher Society for Biological Engineering (SBE) $15 $75
The Climate Solutions Community $10 $10
Graduation Date: Name of School: AIChE K-12 Community FREE FREE

Local Section* Name $

*View www.aiche.org/community/local-sections/find 4 Select Publications

CEP Magazine Print Web Both
CEP - USA Only Included Included Included
2 Select Forums/Divisions CEP - International $35 Included $35
Catalysis & Reaction Engineering Division. . . . . . . . . . . . . . $20
Computing & Systems Technology Division. . . . . . . . . . . . . $10 North America
Education Division . . . . . . . . . . . . . . . . . . . . . . . $7 AIChE Journal ® $198 $257 $267
Food, Pharmaceutical & Bioengineering Division. . . . . . . . . . . $12 Biotechnology Progress NA $83 ——
Forest Bioproducts Division . . . . . . . . . . . . . . . . . . . $20 Bioengineering & Translational Medicine NA $0 ——
Fuels & Petrochemicals Division . . . . . . . . . . . . . . . . . $10 Food & Bioproducts Processing (IChemE) $160 $0 ——
Management Division. . . . . . . . . . . . . . . . . . . . . $10 Journal of Advanced Manufacturing & Processing NA $0 ——
Materials Engineeering & Sciences Division. . . . . . . . . . . . . $10 Mechanical Engineering $35 $0 ——
Nuclear Engineering Division . . . . . . . . . . . . . . . . . . . $10 TCE: The Chemical Engineer (IChemE) $80 NA NA
Process Development Division. . . . . . . . . . . . . . . . . . $10
Outside North America
Separations Division. . . . . . . . . . . . . . . . . . . . . . $15
AIChE Journal ® International $317 $243 $411
Transport & Energy Processes Division. . . . . . . . . . . . . . . $7
Biotechnology Progress NA $83 ——
Chemical Engineering & the Law Forum . . . . . . . . . . . . . . $20 Bioengineering & Translational Medicine NA $0 ——
Computational Molecular Sci & Eng Forum . . . . . . . . . . . . . $10 Journal Domestic $187 $243 $281
Nanoscale Science & Engineering Forum. . . . . . . . . . . . . . $10
North American Mixing Forum . . . . . . . . . . . . . . . . . . FREE
Particle Technology Forum . . . . . . . . . . . . . . . . . . . . $15 Total Your Payment    Promo Code:_______________
Pharmaceutical Discovery, Development & Manufacturing Forum. . . . . $10
Sustainable Engineering Forum . . . . . . . . . . . . . . . . . . $20 Institute Dues $ __________
Upstream Engineering & Flow Assurance Forum. . . . . . . . . . . $36 Division/Forum Dues $ __________
Technical Society Dues $ __________
Divisions with Publications included:
Publication Subscription(s) $ __________
North America Print Web Both Local Section Dues $ __________
Environmental, Env. Progress & Sustainable Energy $45 $45 $75
Total $ __________
0.00
Safety & Health, Process Safety Progress $45 $45 $75
Form of Payment: Check enclosed (payable to AIChE)
Outside North America Print Web Both
Credit Card: AmEx MasterCard Visa Discover Diners Club
Environmental, Env. Progress & Sustainable Energy $95 $45 $125
Safety & Health, Process Safety Progress $95 $45 $125 Automatic Renewal Payment Option
I hereby authorize AIChE to automatically debit my credit card for my
Institute dues and selections on July 10th of each year. A receipt will be sent to me
immediately following the transaction.

CARD# EXPIRATION DATE CVV

CARDHOLDER’S NAME CARDHOLDER’S SIGNATURE

© 2021 AIChE 5564_20 • 02.21

 RATE CHART

Country Dues Country Dues Country Dues Country Dues

Afghanistan 49 Czech Republic 199 Latvia 199 Rwanda 49
Albania 149 Denmark 199 Lebanon 149 Saint Kitts And Nevis 199
Algeria 149 Djibouti 79 Lesotho 79 Saint Lucia (Caribbean) 149
American Samoa 149 Dominica 149 Liberia 49 Samoa 79
Andorra 199 Dominican Republic 149 Libyan Arab Jamahiriya 149 San Marino 199
Angola 149 East Timor 79 Liechtenstein 199 Sao Tome And Principe 79
Anguilla 199 Ecuador 149 Lithuania 199 Saudi Arabia 199
Antarctica 199 Egypt 79 Luxembourg 199 Senegal 79
Antigua Barbuda 199 El Salvador 79 Macau 199 Serbia/Kosovo 79
Argentina 149 Equatorial Guinea 199 Macedonia/Yugoslav Republic 149 Seychelles 149
Armenia 79 Eritrea 49 Madagascar 49 Sierra Leone 49
Aruba 199 Estonia 199 Malawi 49 Singapore 199
Australia 199 Ethiopia 49 Malaysia 149 Slovakia (Slovak Republic) 199
Austria 199 Falkland Islands 199 Maldives 199 Slovenia 199
Azerbaijan 149 Faroe Islands 199 Mali 49 Solomon Islands 79
Bahamas 199 Fiji 149 Marshall Islands (N.Pacific) 149 Somalia 49
Bahrain 199 Finland 199 Mauritania 79 South Africa 149
Bangladesh 49 France 199 Mauritius 149 South Georgia 199
Barbados 199 France - Metropolitan 199 Mayotte 199 South Korea 199
Belarus 149 French Guiana 199 Mexico 149 Spain 199
Belgium 199 French Polynesia 199 Micronesia-Fede 79 Sri Lanka 79
Belize 149 French Southern Terr 199 Moldova - Republic Of 79 St. Vincent Grenadines 149
Benin 49 Gabon 149 Monaco 199 St. Helena 199
Bermuda 199 Gambia 49 Mongolia 49 St. Peirre And Miquelon 199
Bhutan 79 Georgia 79 Montserrat 199 Sudan 79
Bolivia 79 Germany 199 Morocco 79 Suriname 149
Bosnia & Herzegovina 149 Ghana 79 Mozambique 49 Svalbard Jan Mayen Isl 199
Botswana 149 Gibraltar 199 Myanmar/Burma 49 Swaziland 79
Bouvet Island 199 Greece 199 Namibia 149 Sweden 199
Brazil 149 Greenland 199 Nauru 199 Switzerland 199
British Indian Ocean Terr 199 Grenada 149 Nepal 49 Syrian Arab Republic 79
Brunei Darussalam 199 Guam 199 Netherlands 199 Taiwan 199
Bulgaria 149 Guatemala 79 Netherlands Antilles 199 Tajikistan 199
Burkina Faso 49 Guinea 49 New Caledonia 199 Tanzania - United Republic 49
Burundi 49 Guinea-Bissau 49 New Zealand 199 Thailand 149
Cambodia 49 Guyana 79 Nicaragua 79 Togo 49
Cameroon 79 Haiti 49 Niger 49 Trinidad And Tobago 199
Canada 199 Heard McDonald Islands 199 Nigeria 79 Tunisia 149
Cape Verde 79 Holy See (Vatican City) 199 Niue 199 Turkey 149
Cayman Islands 199 Honduras 79 Norfolk Island 199 Turkmenistan 79
Central African Republic 49 Hong Kong 199 Northern Mariana Islands 199 Uganda 49
Chad 49 Hungary 149 Norway 199 Ukraine 79
Chile 199 Iceland 199 Oman 199 United Arab Emirates 199
China 149 India 79 Pakistan 79 United Kingdom 199
Christmas Island 199 Indonesia 79 Palau 149 United States 199
Cocos (Keeling) Islands 199 Iran, Islamic Rep. 149 Palestine (West Bank and Gaza) 79 Uruguay 199
Colombia 149 Iraq 79 Panama 149 Uzbekistan 79
Comoros 49 Ireland 199 Papua New Guinea 79 Vanuatu 79
Congo 79 Israel 199 Paraguay 79 Venezuela 149
Congo, Dem. Rep. Italy 199 Peru 149 Vietnam 79
(Congo-Kinshasa) 49 Jamaica 149 Philippines 79 Virgin Islands (British) 199
Congo, Rep.(Congo-Brazzaville) 79 Japan 199 Poland 199 Virgin Islands (U.S.) 199
Cooks Island 199 Jordan 149 Portugal 199 Wallis And Futuna Islands 199
Costa Rica 149 Kazakhstan 149 Puerto Rico 199 Western Sahara 199
Côte d'Ivoire 79 Kenya 49 Qatar 199 Yemen 79
Croatia (Hrvatska) 199 Kiribati 79 Reunion 199 Yugoslavia 199
Cuba 149 Kuwait 199 Romania 149 Zambia 79
Cyprus 199 Lao People Demo Republic 79 Russian Federation 199 Zimbabwe 49

All Rates in US Dollars • All rates valid through December 31, 2021