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<br />Student <br />Verification <br /> <br />I verify that <br />is currently enrolled as a full-time student. <br /> <br />(Name of Student) <br /> <br />(Signature of department head, professor, or registrar) <br /> <br />(SchoollDate) <br /> <br />Planning Board <br />Verification I verify that I am a current member of .. <br />and that I do not earn my hving in pla.oning. <br /> <br />(Name of Board or Commission) <br /> <br />(Signature/Date) <br /> <br />APA Divisions .r the interest division(s) you want to join. Then write the division name(s) and the total division dues amount in the <br />appropriate column on the front of this form. (These rates apply for APA members only.) <br /> <br />Division Dues <br />o City Planning and Management <br />o Economic Development <br />o Environment. Natural Resources. and Energy <br />o Federal Planning <br />o Gays and lesbians in Planning <br />o Housing and Human Services <br /> <br />Regular Student <br />$ 20 $ 10 <br />20 15 <br />20 5 <br />15 5 <br />17 12 <br />20' 15 . <br /> <br />o Information Technology <br />o Intergovernmental Affairs <br />o International <br />o Planning and law <br />o Planning and the Black Community <br />o Planning and Women <br /> <br />Regular Student <br />$20' $15' <br />20 15 <br />20 10 <br />15 5 <br />25 15 <br />20 13 <br /> <br />o Private Practice <br />o Resort and Tourism <br />o Small Town and Rural Planning <br />o Transportation Planning <br />o Urban Design and Preservation <br /> <br />Regular Student <br />$ 25 $ 5 <br />25 5 <br />20 15 <br />20' 10 ' <br />20 20 <br /> <br />'Add $5 for membership outside the U.S. <br /> <br />NO POSTAGE <br />NECESSARY <br />IF MAILED IN THE <br />UNITED STATES <br /> <br />BUSINESS <br /> <br />REPLY <br /> <br />MAil <br /> <br />FIRST CLASS MAil <br /> <br />PERMIT NO 20675 <br /> <br />CHICAGO Il <br /> <br />POSTAGE WILL BE PAID BY ADDRESSEE <br /> <br />MEMBERSHIP <br />AMERICAN PLANNING ASSOCIATION <br />122 S MICHIGAN AVE STE 1600 <br />CHICAGO IL 60603-9830 <br /> <br />.1 <br />1 <br />1 <br />I <br /> <br />I <br /> <br />1,11,.11" "II"",,, ,.11,',1..1"',, ,11,11...,',1,' <br /> <br />Detach form, fold, and tape so APA address panel is showing. <br /> <br />* <br /> <br />Primed on recycled paper: <br />50-70% recycled fiber. <br />10% postconsumer waste <br />