Corporate Associate Membership Application

Our organization, applies for Corporate Associate membership with the American Institute of Physics, starting with the calendar year in the dues category (select one) of:

The technical point of contact (e.g., a physicist) for our organization is and he/she can be reached at the following address:

Company:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Fax:
E-mail: 

We understand that membership requires official election by the Governing Board of the Institute, and that as soon as the Board acts on our application we will be notified. Upon approval, please bill our organization for the annual dues (selected above) and for those journals indicated (selected below); the billing address is:

Name:
Address 1:
Address 2:
City:
State:
Zip:

Complimentary subscriptions to Physics Today are provided to all AIP Corporate Associates; a subscription to each of the following Institute publications are available to all AIP Corporate Associates at a discount rate equal to 30 percent off the regular domestic subscription price, (see discount subscription rates).

As a Corporate Associate of the Institute, our organization would like to receive (check all that apply):

Applied Physics Letters
CD-ROM-Applied Physics Letters
Journal of Applied Physics
CD-ROM-Journal of Applied Physics
Journal of Chemical Physics
CD-ROM Journal of Chemical Physics
Journal of Mathematical Physics
Physics of Fluids
Physics of Plasmas
Physics of Fluids & Physics of Plasmas (combined)
Review of Scientific Instruments
Current Physics Index
Journal of Physical and Chemical Reference Data
Medical Physics (AAPM)
Chaos

Our organization wants further information on the following Current Physics Information product, available to us at the Corporate Associates discount quoted in the section of the Corporate Associates HomePage devoted to discount information (please select the product about which you wish to receive additional information):

Searchable Physics Information Notices (SPIN)

We request no journal subscriptions; our library will place our order.

Publications should be addressed to our organization as follows:

Name:
Address 1:
Address 2:
City:
State:
Zip:
Submitted by:
E-mail: