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Fillable Printable Planning Application Form - Illinois

Fillable Printable Planning Application Form - Illinois

Planning Application Form - Illinois

Planning Application Form - Illinois

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be considered as a business expense, except 17
percent of California chapter dues, which are
allocated to chapter lobbying costs.
1
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use it to conduct electronic voting, deliver
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administrative tasks.
2
Student verication required — please complete
the form above.
Former APA members are not eligible to re-join as
student members.
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Early Career Membership Program. Learn more at
planning.org/earlycareer.
3
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Learn more and join at planning.org/join
/international.
4
Your chapter corresponds to your preferred
mailing address.
APA also oers aordable group planning board
membership to agencies that enroll multiple
commissioners. Learn more at planning.org/join/
commissioners.
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Name Mr. Ms. Mrs. APA ID (former members only)
Employer name
Employer address Department
City State ZIP
Office phone number Fax number
Home address
City State ZIP
Home phone number E-mail address (required)
1
M REG
Fill in the column for the membership type requested Regular Student
2
National Dues
3
(see table on reverse) $ $40
Chapter Dues
4
$ $10
Chapter membership is mandatory for U.S. members.
JAPA (optional); Quarterly
Print & online $48 ($24 APA student members) $ $
Online edition is free to first-year student members
APA Divisions (optional)
See table on reverse. Enter division codes below $ $
and total division dues at right.
Total $ $
I verify that I am a full-time student at the
school named below.
Name of college/university
Student ID #
Expected graduation date
APA Membership Dues
Student Verication
Tell Us Where to Send
Invoices
Home Employer
Publications
Home Employer
Fax credit card payments
to 312-786-6700
RETURN TO:
MEMBERSHIP
AMERICAN PLANNING ASSOCIATION
97774 EAGLE WAY
CHICAGO IL 60678-9770
FAX 312-786-6700
Choose the range that reflects your salary
and other professional income. APA and
its members operate with integrity. Our
salary-based dues structure depends on
that integrity. Records are kept confidential.
APA National Dues
(mandatory for regular members)
Division Code
City Planning & Management CITY_PLAN
County Planning CPD
Economic Development ECON
Environment, Nat. Res. & Energy ENVIRON
Federal Planning FED_PLAN
Gays & Lesbians in Planning GALIP
Hzrd. Mtgtn. & Disaster Rcvry. Plng. HMDR
Housing & Community Develop. HOUSING
International INTL
Latinos & Planning LAP
New Urbanism NEW_URB
Division Dues
(optional)
Division Code
Planning & Law LAW
Planning & the Black Community PLAN_BLACK
Planning & Women WOMEN
Private Practice PRIVATE
Regional & Intergovernmental Plng. INTER_GOV
Small Town & Rural Planning SMALL_TOWN
Sustainable Communities SCD
Technology INFO_TECH
Transportation Planning TRANS
Urban Design & Preservation URBAN_DES
Each division is $25 for regular members; $10 for students.
Income Dues
Less than $42,000 $160
$42,000–$49,999 $190
$50,000–$59,999 $220
$60,000$69,999 $245
$70,000$79,999 $270
$80,000$89,999 $295
$90,000$99,999 $320
$100,000$119,999 $350
$120,000 and above $380
Undisclosed $385
Chapter Regular Student
Mass. $35 $10
Mich. $60 $10
Minn. $50 $10
Miss. $35 $10
Mo. $25 $10
Natl. Cap.
2
$30 $10
Neb.
1
25% APA dues $10
Nev. $30 $10
N.J.
1
35% APA dues $10
N.M. $40 $10
N.Y. Metro $49 $10
N.Y. Upstate $35 $10
N.C. $40 $10
N. New Eng.
1,3
25% APA dues $10
Ohio 25% APA dues $10
Okla. $45 $10
Ore. $55 $10
Penna.
1
45% APA dues $10
R.I. $25 $10
Chapter Regular Student
Ala. $30 $10
Alaska $35 $10
Ariz. $46 $10
Ark. $25 $10
Calif. $105 $10
Colo.
1
25% APA dues $10
Conn.
1
35% APA dues $10
Del. $30 $10
Fla.
1
45% APA dues $10
Ga. $35 $10
Hawaii $25 $10
Idaho $25 $10
Ill.
1
25% APA dues $10
Ind.
1
35% APA dues $10
Iowa $34 $10
Kan. $45 $10
Ky. $35 $10
La. $50 $10
Md. $27 $10
1
Round percentages of APA National Dues to the
nearest dollar.
2
Includes Washington, D.C.; Montgomery County,
Md.; and Prince George’s County, Md.
3
Includes Maine, New Hampshire, and Vermont.
4
Includes Montana, North Dakota, South Dakota,
and Wyoming.
Chapter Dues
(mandatory for U.S. members)
Chapter Regular Student
S.C. $35 $10
Tenn. $25 $10
Texas $45 $10
Utah
1
25% APA dues $10
Va. 35% APA dues $10
Wash.
1
25% APA dues $10
W. Va. $45 $10
W. Cen.
4
$29 $10
Wis. $45 $10
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