際際滷

際際滷Share a Scribd company logo

Pmi reg form

ASAD MEHMOOD AKHTAR
ASAD MEHMOOD AKHTAR

This document appears to be a membership application for the Project Management Institute (PMI). It requests contact information, demographic details, and payment information to process an individual or student membership. Applicants agree to adhere to PMI's Code of Ethics and can choose options like mailing addresses, renewal billing, and contact preferences. The form collects employment details and asks for the applicant's primary industry and job function. It provides membership rates in US dollars and Euros and notes Canadian tax policies.

1 of 4
Download to read offline
Have you previously been a member of PMI? No Yes Year of last membership If yes, what was your previous ID#? PREFIX (MR., MRS., MS., DR.) FIRST NAME (Maximum of 20 letters) MI LAST NAME (Maximum of 20 letters) 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 1) CITY STATE/PROVINCE ZIP/POSTAL CODE COUNTRY HOME ADDRESS STREET ADDRESS (LINE 1) STREET ADDRESS (LINE 1) CITY STATE/PROVINCE ZIP/POSTAL CODE COUNTRY Please type or print clearly. Date ______/ ______/ 2014 Please Complete Parts 2 and 3 By joining PMI, you agree to adhere to the Project Management Institute Code of Ethics and Professional Conduct. The Code can be viewed by visiting www.PMI.org. For faster processing, join PMI online using a credit card @ PMI.org Select Your Membership Option Individual Membership Student Membership (Students must provide proof of current full time enrollment. Please do not send separately. Student membership enrollments are subject to verification.) 2014 Membership Application PART 1
Please Complete Part 3 By supplying the fax information above, you consent to being contacted by PMI at the fax number provided. For faster processing, join PMI online using a credit card @ PMI.org Your digital New Member Kit is available to you through myPMI. What is your preferred mailing address? Home Business What is your preferred renewal billing address? Home Business I would like to: Receive promotional messages from PMI about PMI products, services, and events Be included in 3rd party postal mailing lists CONTACT INFORMATION PRIMARY E-MAIL SECONDARY E-MAIL BUSINESS PHONE (WITH COUNTRY CODE, AREA CODE AND EXT.) FAX (WITH COUNTRY CODE AND AREA CODE) HOME PHONE (WITH COUNTRY CODE AND AREA CODE) MOBILE PHONE (WITH COUNTRY CODE AND AREA CODE) TOLL-FREE PHONE GENERAL INFORMATION HOW MANY YEARS HAVE YOU BEEN PRACTICING PROJECT MANAGEMENT? IS PROJECT MANAGEMENT YOUR PRIMARY PROFESSION? Yes No By joining PMI, you agree to adhere to the Project Management Institute Code of Ethics and Professional Conduct. The Code can be viewed by visiting www.PMI.org. 2014 Membership Application PART 2
Construction (002) Commercial/Heavy Industrial (001) Residential (003) Other________________ 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________________ What is your organizations primary business activity (industry)? What category best describes your job function? Return Completed Form with Payment to: Project Management Institute, 14 Campus Boulevard Newtown Square, Pennsylvania 19073-3299 USA Or fax to: +1-610-819-0746 Asia Pacific Applicants Return Completed Form with U.S. Dollar Payment to: Project Management Institute, Asia Pacific Service Centre 20 Bendemeer Road, #04-02 Cyberhub Singapore 339914 Or fax to: +65-6496-5599 Other Business Activities (045) Academia (004) Aerospace (005) Architecture/Design (006) Arts/Entertainment/Broadcasting (046) Automation Systems (007) Business Mgmt Svcs./ Mgmt Consulting (053) City Management (008) Computers/Software/DP (044) Consulting (009) Defense (048) E-business (010) Economics/Finance (011) Education/Training (041) Engineering (012) Environmental/Waste/Sewage (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________________ Engineering (157) Chemical (151) Civil (152) Electrical (153) Electronics (154) Environmental (155) Industrial (156) Mechanical (150) 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 Other (103) Consulting (106) Distribution (107) Finance (127) Financial Services (110) Legal (111) Marketing/Business Development/Sales (113) Production (115) Project Accounting/Audit (116) Public Relations (119) Research/Product Development (056) Retail (128) Service & Outsourcing (123) Teaching/Training (146) Web Strategist/Technologist (125) Other_________________ For faster processing, join PMI online using a credit card @ PMI.org 2014 Membership Application PART 3 Please Complete Part 4 Your Name
$ 129.00 $ 32.00* $_______ $ 10.00 $_______ $_______ $_______ $_______ $_______ $_______ OPTION 1 PMI Individual Membership PMI Individual Member Dues OPTION 2 PMI Student Membership PMI Student Member Dues *All applicants must attach verification of current full time enrollment in a degree-granting program. PMI is unable to process student membership applications without verification documentation. Please do not send separately. Dues Calculation (Enter amount from option 1, or 2 above) Membership Dues Application Fee (Applies to new and rejoining Individual Memberships. Student Memberships excluded.) Component Fees (Visit www.PMI.org for component list and fees) PMI Chapter Name(s)____________________ PMI Community Name(s) _________________ Optional Air Mail $60.00 / 50.00 (For PMI publication mailing outside North America, not available for Student Membership) Optional Donation to the PMI Educational Foundation If applicable, calculate Canadian Tax (see below) Total Amount Enclosed METHOD OF PAYMENT: Canadian Tax Information: Payment must accompany application. Purchase Orders not accepted. We accept cheques made payable to PMI in euro or U.S. dollars drawn on a U.S. bank, bank transfers or the following credit cards: VISA MasterCard American Express Diners Club Discover Card Number _________________________________ Exp. Date _______ /_______ Signature _____________________________________ Do not send cash. Please remit total payment in one currency, U.S. dollar or euro. For faster processing, join PMI online using a credit card @ PMI.org. PMI is an individual membership organization. All membership fees are nonrefundable, nontransferable and subject to change. (MM) (YY) 息2014 Project Management Institute, Inc. All rights reserved. PMI and the PMI logo are registered marks of Project Management Institute, Inc U.S. dollar euro 105.00 26.00* _______ 10.00 _______ _______ _______ _______ _______ _______ For faster processing, join PMI online using a credit card @ PMI.org 2014 Membership Application PART 4 Your Name DUES INFORMATION: One full year membership Amounts in U.S. dollar and euro. In accordance with Canadian tax law, taxes are collected on member dues and application fees relating to PMI and the following chapters: Canadas Technology Triangle (CTT), Lakeshore, Durham Highlands, New Brunswick, Levis, Manitoba, Montreal, Northern Alberta, Nova Scotia, Ottawa Valley, Regina/S Saskatchewan, Southern Alberta, South Western Ontario, and Southern Ontario. The rate of tax charged varies depending on the province address you use. Tax calculations by province are 15% for Nova Scotia, 13% for New Brunswick, Newfoundland/Labrador and Ontario; 14.975% for Quebec; and 5% for all other provinces. If your employer is paying for your membership and has been granted tax-exempt status by the appropriate Canadian authorities, you will not be able to submit your application on-line. You will need to mail or fax your membership application along with a tax-exempt certi鍖cation meeting the speci鍖cations of the Canadian government. GST/HST registration: 897944807RT0001 QST registration: 1202723001TQ0001 Return completed form with US dollar payment to: Project Management Institute, Fourteen Campus Boulevard, Newtown Square, Pennsylvania 19073-3299 USA Or fax to 610-356-4647.

More Related Content

Pmi reg form

  • 1. Have you previously been a member of PMI? No Yes Year of last membership If yes, what was your previous ID#? PREFIX (MR., MRS., MS., DR.) FIRST NAME (Maximum of 20 letters) MI LAST NAME (Maximum of 20 letters) 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 1) CITY STATE/PROVINCE ZIP/POSTAL CODE COUNTRY HOME ADDRESS STREET ADDRESS (LINE 1) STREET ADDRESS (LINE 1) CITY STATE/PROVINCE ZIP/POSTAL CODE COUNTRY Please type or print clearly. Date ______/ ______/ 2014 Please Complete Parts 2 and 3 By joining PMI, you agree to adhere to the Project Management Institute Code of Ethics and Professional Conduct. The Code can be viewed by visiting www.PMI.org. For faster processing, join PMI online using a credit card @ PMI.org Select Your Membership Option Individual Membership Student Membership (Students must provide proof of current full time enrollment. Please do not send separately. Student membership enrollments are subject to verification.) 2014 Membership Application PART 1
  • 2. Please Complete Part 3 By supplying the fax information above, you consent to being contacted by PMI at the fax number provided. For faster processing, join PMI online using a credit card @ PMI.org Your digital New Member Kit is available to you through myPMI. What is your preferred mailing address? Home Business What is your preferred renewal billing address? Home Business I would like to: Receive promotional messages from PMI about PMI products, services, and events Be included in 3rd party postal mailing lists CONTACT INFORMATION PRIMARY E-MAIL SECONDARY E-MAIL BUSINESS PHONE (WITH COUNTRY CODE, AREA CODE AND EXT.) FAX (WITH COUNTRY CODE AND AREA CODE) HOME PHONE (WITH COUNTRY CODE AND AREA CODE) MOBILE PHONE (WITH COUNTRY CODE AND AREA CODE) TOLL-FREE PHONE GENERAL INFORMATION HOW MANY YEARS HAVE YOU BEEN PRACTICING PROJECT MANAGEMENT? IS PROJECT MANAGEMENT YOUR PRIMARY PROFESSION? Yes No By joining PMI, you agree to adhere to the Project Management Institute Code of Ethics and Professional Conduct. The Code can be viewed by visiting www.PMI.org. 2014 Membership Application PART 2
  • 3. Construction (002) Commercial/Heavy Industrial (001) Residential (003) Other________________ 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________________ What is your organizations primary business activity (industry)? What category best describes your job function? Return Completed Form with Payment to: Project Management Institute, 14 Campus Boulevard Newtown Square, Pennsylvania 19073-3299 USA Or fax to: +1-610-819-0746 Asia Pacific Applicants Return Completed Form with U.S. Dollar Payment to: Project Management Institute, Asia Pacific Service Centre 20 Bendemeer Road, #04-02 Cyberhub Singapore 339914 Or fax to: +65-6496-5599 Other Business Activities (045) Academia (004) Aerospace (005) Architecture/Design (006) Arts/Entertainment/Broadcasting (046) Automation Systems (007) Business Mgmt Svcs./ Mgmt Consulting (053) City Management (008) Computers/Software/DP (044) Consulting (009) Defense (048) E-business (010) Economics/Finance (011) Education/Training (041) Engineering (012) Environmental/Waste/Sewage (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________________ Engineering (157) Chemical (151) Civil (152) Electrical (153) Electronics (154) Environmental (155) Industrial (156) Mechanical (150) 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 Other (103) Consulting (106) Distribution (107) Finance (127) Financial Services (110) Legal (111) Marketing/Business Development/Sales (113) Production (115) Project Accounting/Audit (116) Public Relations (119) Research/Product Development (056) Retail (128) Service & Outsourcing (123) Teaching/Training (146) Web Strategist/Technologist (125) Other_________________ For faster processing, join PMI online using a credit card @ PMI.org 2014 Membership Application PART 3 Please Complete Part 4 Your Name
  • 4. $ 129.00 $ 32.00* $_______ $ 10.00 $_______ $_______ $_______ $_______ $_______ $_______ OPTION 1 PMI Individual Membership PMI Individual Member Dues OPTION 2 PMI Student Membership PMI Student Member Dues *All applicants must attach verification of current full time enrollment in a degree-granting program. PMI is unable to process student membership applications without verification documentation. Please do not send separately. Dues Calculation (Enter amount from option 1, or 2 above) Membership Dues Application Fee (Applies to new and rejoining Individual Memberships. Student Memberships excluded.) Component Fees (Visit www.PMI.org for component list and fees) PMI Chapter Name(s)____________________ PMI Community Name(s) _________________ Optional Air Mail $60.00 / 50.00 (For PMI publication mailing outside North America, not available for Student Membership) Optional Donation to the PMI Educational Foundation If applicable, calculate Canadian Tax (see below) Total Amount Enclosed METHOD OF PAYMENT: Canadian Tax Information: Payment must accompany application. Purchase Orders not accepted. We accept cheques made payable to PMI in euro or U.S. dollars drawn on a U.S. bank, bank transfers or the following credit cards: VISA MasterCard American Express Diners Club Discover Card Number _________________________________ Exp. Date _______ /_______ Signature _____________________________________ Do not send cash. Please remit total payment in one currency, U.S. dollar or euro. For faster processing, join PMI online using a credit card @ PMI.org. PMI is an individual membership organization. All membership fees are nonrefundable, nontransferable and subject to change. (MM) (YY) 息2014 Project Management Institute, Inc. All rights reserved. PMI and the PMI logo are registered marks of Project Management Institute, Inc U.S. dollar euro 105.00 26.00* _______ 10.00 _______ _______ _______ _______ _______ _______ For faster processing, join PMI online using a credit card @ PMI.org 2014 Membership Application PART 4 Your Name DUES INFORMATION: One full year membership Amounts in U.S. dollar and euro. In accordance with Canadian tax law, taxes are collected on member dues and application fees relating to PMI and the following chapters: Canadas Technology Triangle (CTT), Lakeshore, Durham Highlands, New Brunswick, Levis, Manitoba, Montreal, Northern Alberta, Nova Scotia, Ottawa Valley, Regina/S Saskatchewan, Southern Alberta, South Western Ontario, and Southern Ontario. The rate of tax charged varies depending on the province address you use. Tax calculations by province are 15% for Nova Scotia, 13% for New Brunswick, Newfoundland/Labrador and Ontario; 14.975% for Quebec; and 5% for all other provinces. If your employer is paying for your membership and has been granted tax-exempt status by the appropriate Canadian authorities, you will not be able to submit your application on-line. You will need to mail or fax your membership application along with a tax-exempt certi鍖cation meeting the speci鍖cations of the Canadian government. GST/HST registration: 897944807RT0001 QST registration: 1202723001TQ0001 Return completed form with US dollar payment to: Project Management Institute, Fourteen Campus Boulevard, Newtown Square, Pennsylvania 19073-3299 USA Or fax to 610-356-4647.