SEAONC -- Structural Engineers Association of Northern California

Applicaton for Membership

New Membership Reinstatement

Grade

Member SE	Member	Associate	Affiliate
Industry	Corresponding	Student

First Name:

Last Name:

Firm/School:

Title/Year:

Business/School Address:

City:

State, Zip:

Phone:

E-Mail:

Residential Address:

City:

State, Zip:

Email Address:

Please Mail to my:

Office Home

Birth City:

Birth State or Country:

Birth Month/Day/Year:

Higher Education

School:

State:

Years Attended:

To:

Course of Study:

Degree:

Year Obtained:

Engineering Registrations

Type:

Number:

Year Obtained:

State:

Type:

Number:

Year Obtained:

State:

Technical, Professional Memberships

Work Experience

Employer:

Years Worked:

To:

Title, Duties:

Employer:

Years Worked:

To:

Title, Duties:

Employer:

Years Worked:

To:

Title, Duties:

Committees

Building Code	Construction Quality Assurance	Program
Business Forum	Disaster Emergency Services	Public Affairs & Membership
Bylaw	Existing Buildings	Seismology
Computer Applications	Legislative	Web Site
Continuing Education	Professional Practices	Young Members Forum

Fees

Student Members are required to pay the fee of $40 at the time application is submitted (this fee includes $10 application fee and $30 for membership dues). Payment must be provided to the SEAONC office within 2 weeks of application being submitted to SEAONC. If fee is not received within this period the application provided by the student will be placed on hold until payment is received.

All other grades of Membership please provide the approriate initiation fee below. Membership dues will be invoiced and prorated from month membership is finalized.

If mailing in the appropriate application fees please send to the following address:

SEAONC
575 Market Street, Suite 2125
San Francisco, Ca 94105

as MEMBER SE, MEMBER, Affiliate, Industry or Corresponding:	$40.00

as Associate:	$25.00

as Student:	$10.00

SEAONC Membership Dues

Members, Members SE, Industry, Corresponding, Fellow:
$120.00		SEAONC
$96.00		SEAOC

$216.00		TOTAL

Associate Affiliate Members:
$60.00		SEAONC
$48.00		SEAOC

$108.00		TOTAL

Students:
$30.00		SEAONC
$0.00		SEAOC

$30.00		TOTAL

Dues to the SEAONC organization and SEAOC are not deductible as a charitable contribution but may be deductible as an ordinary and necessary business expense. A portion of dues, however, is not deductible as an ordinary and necessary business expense to the extent that SEAOC engages in lobbying activity. The non-deductible portion of dues for 2005-2006 is estimated to be 5%.

To view the PDF version of the SEAONC Membership Application Form click on the download button below.