Project Management Institute

Building professionalism in project management.

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By joining PMI you agree to adhere to the PMI Member Code of Ethics.pmi. please) to +610-356-4647 or join on line at www.S. To Apply For Membership: 1. and PMI Today newsletter will begin arriving in approximately 6-8 weeks.ANNUAL DUES $10. PLUS $10.org/membership/apply. After your application has been processed. NEW MEMBER APPLICATION FEE.00 U. Student members are not entitled to exercise any voting rights.S. 3. as may be granted in the Component Bylaws. Gain maximum benefit from your PMI membership by joining one or more PMI Chapters. Pennsylvania 19073 USA. For a full copy of the PMI Member Code of Ethics. drawn on a U. Individual Membership entitles members to all privileges and benefits of membership and empowers members with full voting rights for electing PMI’s leadership which is comprised of volunteer members.S. Student membership in the Project Management Institute is open to students currently enrolled in a degree-granting program at an accredited. PLUS $10. This information will assist us in serving you. Student members may.00 U.org/membership or call PMI’s Fax on Demand Service at +800-495-5201 (US & Canada) or +303-454-3333 (all other locations). STUDENT MEMBERSHIP . hold office and vote within a PMI Component. in U. Four Campus Blvd. Select your membership category. dollars.htm .S.pmi. 5. 2.Project Management Institute ® PMI Membership Categories INDIVIDUAL MEMBERSHIP . A complete list of PMI Components and their fees is included on pages 5 and 6 of this form. NEW MEMBER APPLICATION FEE. or globally equivalent. Send your completed application form. or hold any elected office in the Institute. PMI Specific Interest Groups (SIG). however.00 U. Complete the application and provide information requested on pages 3 and 4 of this form.org/membership/apply. along with a check or money order (made payable to Project Management Institute. college/university. you may fax the application form (all pages.00 U. Apply On Line! 2 Join PMI securely on line using your credit card by going to the PMI Web site at www. bank) to PMI.htm 4. you will receive welcoming information including your membership card and membership certificate (approximately 6-8 weeks). If paying by credit card. Newtown Square. PM Network magazine..pmi. Your subscriptions to Project Management Journal. and/or PMI College.ANNUAL DUES $119.S.S. please visit the PMI Web site at www. Applicants must enclose verification of current enrollment with a completed Membership Application.

/Mgmt Consulting ❏ (053) City Management ❏ (008) Computers/Software/DP ❏ (044) Consulting ❏ (009) Defense ❏ (048) E-business ❏ (010) Economics/Finance ❏ (011) Education/Training ❏ (012) Environmental/Waste/Sewage ❏ (041) Engineering ❏ (042) Financial Services ❏ (013) Health/Human/Social Services ❏ (043) Information Technology ❏ (051) International Development ❏ (014) Legal ❏ (015) Printing/Publishing ❏ (016) Public Administration/Government ❏ (017) Real Estate/Insurance ❏ (018) Recreation ❏ (050) Supply Chain ❏ (049) Systems Security ❏ (019) Telecommunications ❏ (020) Transportation ❏ (052) Urban Development ❏ (021) Utilities ❏ (047) Web Technology ❏ (022) Other________________ ❏ (157) Chemical ❏ (151) Civil ❏ (152) Electrical ❏ (153) Electronics ❏ (154) Environmental ❏ (155) Industrial ❏ (156) Mechanical ❏ (150) Other____________ ❏ (103) Consulting ❏ (106) Distribution ❏ (107) Finance ❏ (127) Financial Services ❏ (110) Legal ❏ (111) Marketing/Business Resources ❏ (023) Agriculture ❏ (027) Coal/Gas/Oil ❏ (025) Ferrous Mining ❏ (024) Forestry ❏ (026) Non-Ferrous Mining Manufacturing ❏ (028) Automotive ❏ (029) Chemical ❏ (030) Concrete/Clay/Glass/Stone ❏ (031) Electrical/Electronic ❏ (032) Food ❏ (033) Machinery/Metals ❏ (034) Paper ❏ (035) Petroleum ❏ (040) Pharmaceutical ❏ (036) Plastics ❏ (037) Textiles/Fabrics ❏ (038) Wood ❏ (039) Other________________ Management ❏ (102) Communications ❏ (149) Configuration ❏ (104) Contract/Procurement ❏ (101) Corporate/Administrative ❏ (105) Cost ❏ (148) Critical Chain ❏ (147) Earned Value ❏ (108) Human Resources ❏ (109) Information/Computer ❏ (112) Materials ❏ (114) Project/Program ❏ (117) Quality ❏ (118) Records ❏ (120) Risk/Safety ❏ (121) Scope/Technical ❏ (122) Site/Facility ❏ (124) Time Mgmt/Scheduling/Planning Development/Sales ❏ (113) Production ❏ (115) Project Accounting/Audit ❏ (116) Public Relations ❏ (119) Research/Product Development ❏ (128) Service & Outsourcing ❏ (123) Teaching/Training ❏ (146) Web Strategist/Technologist ❏ (125) Other___________________ Please Complete Page 4 WEB 3 .. Dr. Ms.htm Membership Application PART 1 Select Your Membership Category ❏ Individual Membership ❏ Student Membership (Must enclose proof of current enrollment.Join PMI on line using a credit card — www..pmi..org/membership/apply.) Please type or print clearly Date ______/______/______ Prefix (Mr.) First Name MI Last Name Suffix Please print name as you want it to appear on your membership certificate Job Title Company/Organization Business Address Street Address (line 1) Street Address (line 2) City State/Province Business Phone Zip/Postal Code (US residents add four digit extension) Country Toll-Free Phone Home Address Street Address (line 1) Street Address (line 2) City State/Province Zip/Postal Code (US residents add four digit extension) Country Home Phone Fax Numbers / E-mail Addresses Primary Fax Secondary Fax Primary E-mail Secondary E-mail What is your organization’s primary business activity (industry)? What category best describes your job function? Construction Other Business Activities Engineering Other ❏ (002) Commercial/Heavy Industrial ❏ (001) Residential ❏ (003) Other________________ ❏ (045) Academia ❏ (004) Aerospace ❏ (005) Architecture/Design ❏ (006) Arts/Entertainment/Broadcasting ❏ (046) Automation Systems ❏ (007) Business Mgmt Svcs. Mrs.

S. FEES SUBJECT TO CHANGE.00 Component Fees (see pgs. Handbooks.__ *MUST ENCLOSE verification of current enrollment. Return Completed Form with Payment to: Project Management Institute Four Campus Boulevard Newtown Square.000 . 5 and 6) PMI Chapter Name(s) ____________________________________ $___.4. dollars.#? ___________________________ DUES INFORMATION: One full year membership Dues Calculation OPTION 1 – PMI Individual Membership PMI Individual Member Dues $119.999 ❏ 5.org . ❏ (10) Internet or other Electronic Bulletin Board System.00 $___. Which? ___________ ❏ (12) Education/Training Program or Course Specify __________________________________________________ ❏ (13) PMP Program ❏ (09) Other (please specify) ® ❏ No ❏ Yes… Year of last membership __________________________ If yes.499 ❏ 2.S.99 ❏ 1.org • Internet: www.999 ❏ 100 .__ Would you prefer that your name be excluded from the following?: ❏ Mailing list rentals ❏ PMI Directories ❏ PMI Announcements Yes. Which? ___________________________ ❏ (08) PMI Technical Material.500 . exclude my name (initial)__________________________ What is your preferred mailing address? ❏ Home What is your preferred billing address? ❏ Business ❏ Home ❏ Business What is your preferred phone number? ❏ Home ❏ Business What is your preferred notification method for PMI announcements? ❏ E-mail ❏ Fax ❏ Mail Do you know of someone else who might be interested in learning about the benefits of PMI Membership? Name: ______________________________________________________ Title: _______________________________________________________ Company: ___________________________________________________ Address: ____________________________________________________ Phone/Fax: __________________________________________________ E-mail: _____________________________________________________ WEB 4 PMI SIG Name(s) _______________________________________ $___.__ Total Membership Dues Enclosed $_____.00 New Member Application Fee (Also applies to Rejoining Members) $10.__ Optional Air Mail (outside North America) $60. do you remember your previous id.00 ____________________________________ $___.__ __________________________________________________________ OPTION 2 – PMI Student Membership What is your organization’s size? ❏ 15 or fewer ❏ 16 .00 Component Fees (see pgs. • OR you can use one of the following credit cards.__ PMI College Name(s) _____________________________________ $___. Which? __________________________ ❏ (14) PMI College.pmi. PMI will not be able to process membership without this documentation METHOD OF PAYMENT: ❏ PAYMENT ENCLOSED • Payments must be in the form of a check or money order in U. drawn on a U. Name? __________________________________ ❏ (02) Employer/Management ❏ (03) PMI Chapter. 5 and 6) PMI Chapter Name(s) ____________________________________ $___.__ PMI SIG Name(s) _______________________________________ $___.__ Optional Air Mail (outside North America) $60.Membership Application PART 2 Have you previously been a member of PMI? How did you first learn about PMI? ❏ (01) Colleague/Friend.499 ❏ 500 . Pennsylvania 19073-3299 USA • Tel: +610-356-4600 • Fax: +610-356-4647 • E-Mail: pmihq@pmi. Which? ________________________________ ❏ (05) Project Management Journal/PM Network/PMI Today ❏ (06) Advertising/Publicity.2. Which? _____________________________________ ❏ (11) PMI Specific Interest Group. Which? _____________________________________ ❏ (04) Other Organization. ❏ VISA ❏ MasterCard ❏ American Express ❏ Diners Club Card Number_________________________________________ Exp. Date ___/___ Signature:______________________________________________________ PMI IS AN INDIVIDUAL MEMBERSHIP ORGANIZATION. MEMBERSHIP IS NONREFUNDABLE AND NONTRANSFERABLE. etc. bank.000 or more PMI Student Member Dues $10.00* New Member Application Fee $10.__ PMI College Name(s) _____________________________________ $___. Where? _______________________________ ❏ (07) Conference or Trade Show.__ Total Membership Dues Enclosed $_____.

...........00 Western Idaho .00 Los Padres ...00 Long Island ...............................00 Mid-Missouri ......................................... 15............ 20.............00 5 ................ TX ....00 Southwest Indiana ................. 20... 20..PMI Worldwide Components & Fees* Place the name(s) and fee(s) of the Components that you wish to join on the line provided on page 4 of the Membership Application.........................00 DISTRICT OF COLUMBIA Washington................ 20..... 25............... 20...00 TEXAS Alamo....00 Tucson......... 20........................................ 20............00 Nashville.......................00 Rochester..........................00 For more information on specific PMI Components.. 20........ dollars....... 15..........................................................................00 Orange County................... 20.................................. VT .......................... NORTH CAROLINA Metrolina (Charlotte. 20.............. TN .......00 WISCONSIN Madison/S.................. 25.................. NY ...........00 Midwest............................................................ 20....................................................00 ILLINOIS Central Illinois (Bloomington) ....... 20.....................00 San Francisco Bay Area .......... Ohio ... 20............................... 25......... 20..... 25...........................................00 NEW YORK Binghamton..........................................00 Tennessee Valley ..............00 IDAHO Eastern Idaho ........ 20... 20........... 20.. 25...00 COLORADO Mile-Hi............... 15......00 VERMONT Champlain Valley........ 20........................00 Palmetto (Greenville...... 25.................00 Memphis.......00 TENNESSEE East Tennessee ............. 20....................00 IOWA Eastern Iowa (Cedar Rapids) ...........00 CONNECTICUT Southern New England ............................. 20..............00 Hampton Roads ....... FL .................................. 20........................... 15.............................................00 (*Fees subject to change............................................ WV .....00 New York City ....00 OKLAHOMA Green Country (Tulsa) ......................................................00 KANSAS KC Mid-America ..... 20... 20....................00 Suncoast.00 Buffalo.................00 SOUTH CAROLINA Charleston........... 15............00 NE Indiana ............... 20...) OHIO Central Ohio (Columbus) ........................................ SC) .........00 Tri-Cities/Columbia Basin ... TX ....S...... PA ......00 Williamette Valley.......................00 WEST VIRGINIA TriState........................ 20........ 20......... call PMI’s Fax on Demand Service at: 800-495-5201 in the U... NM) .....00 •␣ Please select those you would like to join The following is a list of currently chartered PMI Components: Chapters..................... Carolina Piedmont Triad ..............................00 Tampa Bay........00 Silicon Valley...............................00 Keystone................. LA ........... Hudson Valley..........00 UTAH Northern Utah ...................................... 20..........00 ARKANSAS Central Arkansas ........ 20..... OR .............................00 NEW MEXICO Otowi Bridge (Los Alamos.............. 20................00 Northwest Louisiana ........... 20......... 20....00 Southern Maryland ................ GA .............................. 15........................00 Georgia (Atlanta) ..................................... MD .................00 Upstate New York ................... 20.00 Northwest Ohio ................................................00 HAWAII Honolulu .. All fees listed are in U............................ Puerto Rico ..... 25......................00 Wichita ......... TN ..00 Dallas.......00 San Diego..... 20........................... 20............. 20.................... 25...... Specific Interest Groups and Colleges............ Denver ..............................00 Central Iowa (Des Moines) .............................pmi.......... and Canada or +303-454-3333 for all other locations.00 FLORIDA Central Florida .............. IL/WI (Chicago) .00 KENTUCKY Kentuckiana (Louisville) ...............................00 PUERTO RICO San Juan.................00 WASHINGTON Puget Sound ........... 20........ SC ...... 20......................................................................00 Austin.................................................00 N......................................................... Central.... 25...........00 Syracuse.............................................00 Northeast Ohio ......................... 20... CO . 25...............00 Columbus....00 PENNSYLVANIA Delaware Valley ......................................... CA .................................................00 OREGON Portland .......... 15........00 MAINE Maine ..... PA ............................ 20................. 20. NC) ......................................... 25........ 25.......................................................................S................ 30.................................................................. AZ .. 20.........00 Rio Grande............ 30..........00 Amarillo........... visit the PMI web site at www.............................. 20.................................................................... 20...................00 MARYLAND Baltimore.............................. TX ....................................00 Pikes Peak Regional........................................00 INDIANA Central Indiana .............................00 Michigan Thumb .....00 ALASKA Alaska .......... PMI CHAPTERS — United States of America ALABAMA Central Alabama ......... 20..................00 Pittsburgh..... $20............ 20............................................................ NY . 20.. NY ..00 Fort Worth......... DC .............................................00 CALIFORNIA Los Angeles.....................................................................................00 NEBRASKA Heartland-Omaha ...................... WI ............................... LA ............ CA .. 20. AZ ............................................................ 20... 20.........00 Kentucky Bluegrass ..................... 20... 15.. 15... 20..............00 Red Earth ...... CA ... 20.......................................................00 ARIZONA Phoenix.......... CA .................. Louis .......................... New Mexico ... CA ..org......................................... NY .................................................. 20.... 25..............00 Dayton/Miami Valley.................................. NY ............................................. 15.................. 25.........00 Sacramento......................................... FL ...... 20............................................00 MINNESOTA Minnesota .................. TX .. 15..00 LOUISIANA Baton Rouge...00 NEVADA Southern Nevada .........00 Wine Country..............00 SW Louisiana/SE Texas ..........................................................00 Savannah River ...............................................................................00 South Carolina Midlands ......... 20...................................................................00 Northeast Florida ....................... 20...............00 VIRGINIA Central Virginia ................................. 20..................................................................... 25............................................................... 20..00 Houston......................... 20.................................. 20.............................. To obtain a faxed list of the contact information for PMI Components...... 20...00 MICHIGAN Great Lakes (Detroit) ..........00 Western Michigan .............................................................. 20.......... 20..........00 North Carolina ......... 20......................... 10.............................. 20. 20........................................00 GEORGIA Coastal Empire ........................00 NEW JERSEY New Jersey ..00 South Florida ..... 20............. 20...............00 MISSOURI Metropolitan St...00 Greater New Orleans............................. TX ..............................................00 Michigan Capital Area .. 20...... TX ................ 40............00 MASSACHUSETTS Mass Bay (Boston) .. CA ................00 RHODE ISLAND Ocean State .... 20.............. 20................. 35. 20................................................................ 20.........00 Milwaukee/Southeast Wisconsin ..... 20............................................................................................................... 25.....................................................................00 Southwest Ohio .......

............... 20.................... 15................................00 Queensland ............................................. 30........00 Metrics ...............00 AUSTRALIA Melbourne.................................................................00 Levis.............. 50.....................................00 Ryerson Polytechnic Student Chapter .................. 20................................................. Germany ...... 20.... 10........................................... 30. Brazil ............. India ................ 25. 15.....00 Monterrey... 15........................................................00 BELGIUM Benelux ................................00 NEW ZEALAND New Zealand ............ 20............... 30... 20..00 Information Systems ................. 15.....................00 Southern Alberta .................................. 30..........00 Oil.. 15..............00 ITALY Northern Italy ........... 10........................................................... Canada .....00 Norway Oslo .....00 CHILE Santiago.......................................... 20.............................................00 SWEDEN Central Sweden ......... $10............. BC ......00 UNITED KINGDOM United Kingdom .. 20......................................00 ISRAEL Israel ......................................... 20...............................00 France ...........00 California State University....... 20...........00 Rome...................... Taiwan ............ 20................ 40....................... Austria ...........00 Rio de Janeiro.. 5....00 Munich................... 40.............................................................00 North Saskatchewan ...............00 West Coast......................00 SOUTH AFRICA South Africa ................................00 VENEZUELA Venezuela .... 15.......00 Lima.................... 15.......................00 Financial Services ................00 Utility Industry ..................................00 Configuration Management .............00 New Product Development ............................................................. Australia ..................................... 20........................ 30......................................................... Mexico ................................................ 30.......00 Thames Valley District ......................00 Pharmaceutical ................... 10................... Russia ..............00 Environmental Management ...................................00 Western Carolina University .00 TURKEY Ankara. 0....................00 Rochester Student Chapter ....................................... Australia ...................................... 20..................00 Manitoba... 50..............................................00 CANADA Fort McMurray ................... $55...................... 25............................ 20.............. 10.......00 RUSSIA Moscow ......................................00 PMI COLLEGE ............. 20...00 Northern Alberta .....................................00 George Washington University .. Peru ......................................... 20..00 DENMARK Copenhagen ..................................... 20.............00 Design-Procurement-Construction ................................................................00 MALAYSIA Malaysia ................. 30.. 25................................ 10......00 Thunderbird International Student Chapter ..... 40......................00 NORWAY Diversity .......00 Government ..............................................00 St.......................... Petersburg.........00 Automotive ...................................... Saskatchewan ............................ 1.00 Ottawa Valley/Outaouais ................................ 15............................00 BRAZIL Minas Gerais................................00 Quality in Project Management .........................................................00 PHILLIPINES Manila . 20................00 EGYPT MENA .................... Brazil ........... 30................. 40............ 15............................. 15. 15..00 PERU E-business ... 18.............................00 TAIWAN Taipei.................................. 20........00 North Dakota University ...... Indonesia .............................................................................. Turkey ........................................................................00 CHINA Hong Kong....................... 25.......................................00 Sao Paulo...................... 10...... 30....00 JAPAN Tokyo ..... 45................................. 20.......................................................00 Southern Caribbean ... 0.00 France SUD ...........PMI Worldwide Components & Fees* PMI CHAPTERS (continued) — Outside United States of America PMI STUDENT CHAPTERS ARGENTINA Buenos Aires .....00 COLOMBIA Santafe de Bogota ..................................................................................00 SINGAPORE Singapore ........... 20..... 30..................................................... Quebec ...............00 Risk Management ..............00 TRINIDAD Service & Outsourcing .......................................... 20............... 20..............00 Global Communications Technologies ........................00 GERMANY Frankfurt........................................ China ................................. 0.00 Lakeshore ........00 Southern Ontario .... 20....00 New Brunswick ........... 20............. 10......................... 25.........00 JAMAICA Doctor Bird . 20........................00 Montreal ........................... 20................00 Regina/S..................00 PMI SPECIFIC INTEREST GROUPS (SIGS) & COLLEGES Aerospace & Defense ..............................................00 SAUDI ARABIA Manufacturing ....00 INDIA Bangalore............00 Students of Project Management ....................00 Sydney..00 Clemson University ........... 15........00 Augsburg Student Chapter . Ireland .... 10...... 15..............00 IRELAND Lambay............................ 20........................................... 10......00 Vancouver Island ........ 20............ 30.. 50. 15....................................................... 10.... 12.............................................. 20.......... 0...... 10................... SAR...........................00 6 Women in Project Management ..................................................................................................00 Marketing & Sales .................................... 30... 40.........................................................00 Retail ...................00 AUSTRIA Vienna.......................00 INDONESIA Jakarta............ San Marcos .....00 MEXICO Mexico ............................................................00 Education & Training ............. 10.................... Italy ... 15.... Gas & Petrochemical .......00 College of Performance Management ...................................... 15.......................................00 Nova Scotia .00 FRANCE Hauts-de-France .................................................. 5...... Brazil ................................................... Germany ....... Chile ...................................................... 15........................................... 20.......................00 Arabian Gulf ...

• Renewal invoices will be sent to both the individual and the organization in a systematic procedure.pmi. please visit the PMI web site at www. will determine whether the organization intends to pay for the renewals. • The new member application fee is waived for individuals joining under the Group Billing Plan. Each individual will receive a full year of membership. Individuals. Once the plan is initiated. • Requires a minimum of 15 employees. Dues for each individual under the plan are based on the established PMI dues and the standard fees set for the selected Components. in communications with their employers. Applications are not required for renewing members. • Each individual within the plan must join PMI and a minimum of one Chapter and one Specific Interest Group (SIG). • An organizational liaison must be identified to receive group renewal invoices and to serve as liaison between the organization and PMI. Photocopy the application as needed. 7 . individuals can join or renew at any time during the year. please complete and return the form on the following page and enclose one individual membership application for each new member along with payment. To apply for the PMI Group Billing Plan.org/membership. For More Information about PMI’s Group Billing Plan. • Organizations can begin participating at any time throughout the year. or whether employees should renew individually.• A simplified group-invoice program for individual membership.

___________________________________________________________________ ❏ 14. ____________________________________________________________________ ❏ 8. _______________________________________________________________ member # ____________________ 5. (For a list of PMI’s currently chartered Components and their fees. ___________________________________________________________________ ❏ 1. ______________________________________________________________ member # ____________________ 11.) First Name MI Last Name Suffix Job Title Phone Fax E-Mail Address List a minimum of 15 individuals below who will become members under your organization’s group plan. “PMP” and the PMP logo are certification marks registered in the United States and other nations. ___________________________________________________________________ ❏ 12. _______________________________________________________________ member # ____________________ 10.PMI Group Billing Plan Form Please print or type Date ______/______/______ Organization Information Company/Organization Street Address (line 1) Street Address (line 2) City State/Province Phone Fax Zip/Postal Code (US residents add four digit extension) E-Mail Address Country Web Page Address Organization Contact Prefix (Mr. ______________________________________________________________ member # ____________________ 18. 060-004-2000 (rev.) . Membership dues for PMI and Components selected. _______________________________________________________________ member # ____________________ 3. 01-01) Printed in the USA select at least one Chapter and one SIG. ______________________________________________________________ member # ____________________ C.) now for those individuals under your group plan who are new members or individuals whose membership will be up for renewal within 3 months from date of this application.S. ______________________________________________________________ member # ____________________ 20. bank.__ application) TOTAL ENCLOSED $_______. ______________________________________________________________ member # ____________________ 19. Inc. ___________________________________________________________________ ❏ 15. _______________________________________________________________ member # ____________________ 4. all renewing members. “PMBOK”. For all other renewals. see pages 5-6 of this form. Inc. or a combination of new and renewing members. ____________________________________________________________________ Must include Member Identification number 2. ____________________________________________________________________ ❏ 10. ____________________________________________________________________ ❏ 5. New members enrolling under Group Billing Plan B. A. ___________________________________________________________________ ❏ 20. DUES INFORMATION: One full year membership per individual. Attach one completed Individual Membership Application for each new member submitted (make photocopies as needed.__ Payment enclosed for_______renewing members $_______. Ms. ______________________________________________________________ member # ____________________ 17. ____________________________________________________________________ ❏ 9. ___________________________________________________________________ ❏ 16. drawn on a U.00 per individual $_______. and “PMI Today” are trademarks registered in the United States and other nations.” are trademarks of the Project Management Institute. dollars. ______________________________________________________________ member # ____________________ 15. ______________________________________________________________ member # ____________________ 16. ______________________________________________________________ member # ____________________ 13. and “Project Management Journal” and “Building professionalism in project management.) The 15 individuals may be all new members.__ Overseas Air Mail (Outside North America ____x $60. ___________________________________________________________________ ❏ 19. _______________________________________________________________ member # ____________________ ❏ ❏ 3. Mrs.__ Card Number____________________________________ Expiration Date ___/___ Signature:________________________________________________ PMI IS AN INDIVIDUAL MEMBERSHIP ORGANIZATION. ___________________________________________________________________ ❏ 13. ___________________________________________________________________ ❏ 11. _______________________________________________________________ member # ____________________ 8.. All rights reserved. _______________________________________________________________ member # ____________________ 6.S. Dr. ______________________________________________________________ member # ____________________ 14. FEES SUBJECT TO CHANGE. ____________________________________________________________________ ❏ 4. ______________________________________________________________ member # ____________________ 12. To participate each participant must METHOD OF PAYMENT: ❏ Payment enclosed • Payments must be in the form of a check or money order in U. ____________________________________________________________________ ❏ 7. MEMBERSHIP IS NONREFUNDABLE AND NONTRANSFERABLE. ___________________________________________________________________ ❏ 18. _______________________________________________________________ member # ____________________ 9.. Members renewing under Group Billing Plan Application Enclosed 1. Please send payment (Box C. ❏ VISA ❏ MasterCard ❏ American Express ❏ Diners Club Payment enclosed for_______new members $_______. ____________________________________________________________________ ❏ 6. your organization and the renewing members will receive invoices upon their individual membership expiration dates. ___________________________________________________________________ ❏ 17. _______________________________________________________________ member # ____________________ 7. “PM Network”.. • Or you can use one of the following credit cards. ____________________________________________________________________ 2. 8 © 2000 Project Management Institute. “PMI” and the PMI logo are service and trademarks registered in the United States and other nations.

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