To Apply for Membership: Fax this Application to (301) 589-7068 or Call a Member Services Representative at 1-800-GO-SWANA (467-9262)
Membership Application Source Code: PR11
Name__________________________________________Nickname__________________________________________ Title_____________________________________________Organization______________________________________ Address__________________________________________________________________________________________ _________________________________________________________________________________________________ City____________________________________________State/Province______________________________________ Country____________________ Zip/Postal Code_________________________________________________________ Phone__________________________Fax______________________________________________________________ E-Mail ___________________________________________________________________________________________ Membership Options o NEW Regular Member (Public Sector):………………………………………………………………….…… $181 US (You are considered eligible for Regular Membership if you work for a: City/Township, State, County, Municipality, Government, or University)
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NEW Corporate Member (Private Sector):…………………………………………………………………… $341 US
(You are considered eligible for Corporate/Sustaining Membership if you work for a private company or organization with an annual revenue of greater than $10 million per year and more than five (5) employees.)
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NEW *Small Hauler/Consultant/Distributor Member:………………..……………………………….……. $241 US
(Small Hauler - Any independent solid-waste hauling company with annual gross revenue of less than $10 million. Small Consultant - Any independent consultant for municipal solid waste practices with five (5) or fewer full-time employees. Small Distributor - Any distributorship with ten (10) or fewer employees)
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NEW Student Member: ……………………………………………………………………………………………$60 US
(Copy of current class schedule required)
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NEW Retired: ……………………………………………………………………………………….………….……$70 US
Take Your Membership to the Next Level – Join a Technical Division SWANA members may join one or more Technical Divisions. □ Landfill Management □ Collection & Transfer □ Communication, Education & □ Planning & Management Marketing □ Special Waste Management □ Landfill Gas Management o
□ Waste Reduction, Recycling & Composting □ Waste-to-energy
Technical Division Subscriptions…………………………………………………………………………….$40 Each US
Professional Interest Sections Please check the professional interest sections that best describe your primary areas of responsibility to receive e-newsletters and invitations to education programs. Check all that apply. □ Landfill □ Recycling & Composting □ Waste to Energy □ Landfill Gas □ Communication Education & □ Planning & Management □ Collection & Transfer Marketing □ Special Waste Payment Information (in U.S. dollars) □ Check enclosed (payable to SWANA) □ Charge $ _______________________ to my: □ American Express □ VISA □ MasterCard □ Discover Account Number ________________________________________________Expiration Date _____________________ Cardholder’s Name_______________________________________Signature__________________________________ *Canadian Residents: SWANA calculates conversion rates monthly. For the current membership rates in Canadian funds, please visit www.SWANA.org. All prices effective through 7/31/11. Price includes 1st year dues and chapter membership. Discount applies to NEW members ONLY
Mail to: P.O. Box 7219. Silver Spring, MD 20907 | Phone 1-800-GO-SWANA (467-9262) | Fax 301-589-7068