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Fillable Printable 2015 Chapter Transfer Request

Fillable Printable 2015 Chapter Transfer Request

2015 Chapter Transfer Request

2015 Chapter Transfer Request

2015 Chapter Transfer Request
AIA Bylaws – 2.07 Component Assignment
2.072 Assignment/Transfer. At the written request of a member, the Institute shall transfer the member’s
assignment from one chapter to another provided that the transferring member either lives or works within
the territory of the new chapter.
PERSONAL INFORMATION
Mr. Mrs. Ms. First name M.I. Last name
Home address Apartment number
City State ZIP Country
Home phone Home fax Cell phone
Date of birth Home e-mail
*Your birth date enables the AIA Trust to issue new architect members a $15,000 life insurance policy premium free for one year.
COMPANY INFORMATION
Company name Job title
Company address Suite/floor number
City State ZIP Country
Office phone Office fax Office e-mail Company web address
Mailing Preference:
Home
Office Primary Email:
Home
Office Primary Phone:
Home Office
CHAPTER TRANSFER INFORMATION
I have recently moved and request a chapter transfer to AIA _____________________________________________based on my:
Office address OR Home address
Please return by mail, fax or e-mail:
The American Institute of Architects| P.O. Box 64185| Baltimore, MD 21264-4185
Fax to: (202) 626-7547 | E-mail to: memberservi[email protected]g
Questions? Please contact AIA Information Central at 1 (800) 242-3837, option 2
________________________________________
Date
____________________________________________
Member ID
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