Affiliate Membership

Send to a friend

Application for Affiliate Membership

Please allow up to 5 business days for processing. Once your application has been processed you will receive an email providing you with your new AISC username and password. If you already have a web account your username and password will be the same. If you have questions, please contact the membership department at 312.670.2401.

*Firm Name:

* Primary Business Address:

Street:
City:		State:		Zip:

Mailing Address (if different from above):

Street:
City:		State:		Zip:

* Type of Business:

Building Inspector Gen. Contractor Code Official
Applicant
First Name:		Last Name:
Phone:		Fax:
Email:	checking...

The following persons are to be covered by this application and are located at the address listed above. (If you are applying for more than 19 memberships, please contact membership@aisc.org)

To receive a complimentary subscription to Modern Steel Construction please check the box next to the Email field.

* Primary Contact:

First Name:

Last Name:

Title:

Email:

Additional People:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

First Name:

Last Name:

Title:

Email:

*Signer’s month of birth:
( e.g. March )

Please check this box to confirm you have read and understand the terms and conditions