Texas APA Networks Membership Form
Membership Application
(Tip: To print on color printer, use greyscale mode)
Name:__________________________________Title:___________________________________
Firm/Organization:________________________
Address:________________________________
City:___________________________________
State/Zip:_______________________________
Phone: _________________________________
Fax:___________________________________
NETWORK MEMBERSHIP
(check all that apply):
I belong to the following organizations______ City Planning Association of Texas (CPAT) - $10.00/yr dues
______ Environmental Network
______ Urban Design Network
______ International Network
______ Planning and Law Network
______ Professional Development Network
______ Transportation Network
______ Women & Planning Network
(check all that apply):
______ Texas Chapter of APA (Texas APA) *
______ American Planning Association (APA) *
______ American Institute of Certified Planners (AICP)
* Required for Network Membership
I am interested in becoming involved:
______ As an officer of the _________ Network
______ In the Education programs
______ In contributing to ________ Network Newsletter
______ In some other capacity (describe below)
Comments:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
Please print and return via mail using the address shown below.
If you are requesting CPAT membership, also enclose $10.00 check.
(Tip: To print on color printer, use greyscale mode)