Membership Enrollment Form The Construction p

800-689-2900
Specifications Institute f 703-236-4600
Enroll online at www.csinet.org P.O. Box 758821 e csi@csinet.org
Baltimore, MD 21275-8821
Fax to (703) 236-4600 w www.csinet.org
CSI Tax ID#: 53-0242938

Personal Information Types of Membership

❍ MR   ❍ MS   ❍ MRS   ❍ DR
❍  Professional–$240
FIRST NAME MIDDLE INITIAL My primary function is to write, interpret,
enforce or oversee the completion of
LAST NAME
construction documents.
TITLE
❍  Industry–$240
FIRM NAME My primary function is to use and/or comply
with construction documents in the normal
WEBSITE
course of my work to construct, or supply
ADDRESS materials for construction projects.

CITY/STATE/ZIP
❍  Associate–$240
My primary function is to provide service,
BUSINESS PHONE ( ) FAX ( ) support and assistance to the construction
industry.
E-MAIL
❍  Intermediate–$115*
DATE OF BIRTH  /M /D /Y
I have less than three years experience
Please review the listings on the back and enter the corresponding number(s) that best in any of the fields that would qualify me
describe the following: for professional, industry or associate
membership.
OCCUPATION NUMBER FIRM TYPE NUMBER
❍  Student–$27*
AIA MEMBER NUMBER I am a full-time student in a construction-
Contact Preferences related curriculum.
❍ Please do not provide my name to CSI Partners for special offers and discounts.

Member Referral Information

* If selecting Intermediate or Student status,
Whom can we thank for encouraging you to join CSI? please call CSI Member Services for related
chapter dues. Intermediate membership is
Referring Member's Name: limited to 3 years, at which time members
must join at the Professional, Industry or
Referring Member's CSI Member ID #: Associate level.

Institute and Chapter Dues

See Institute dues above and reverse side for chapter dues list.

INSTITUTE DUES (SEE TYPES OF MEMBERSHIP ABOVE) $  DON'T FORGET TO JOIN A CHAPTER!
HOME CHAPTER NAME (See reverse) $ 
ADDITIONAL CHAPTER(S) NAME(S) $  NOTE: CSI membership is non-transferrable.
MEMBERSHIP CERTIFICATE (OPTIONAL) $ 15.00
DALE C. MOLL STUDENT ACTIVITY FUND CONTRIBUTION (OPTIONAL) $  25.00
Dues Rates Effective September 2009
through June 2010
CSI FOUNDATION CONTRIBUTION (OPTIONAL) $  25.00
BUSINESSLINX (OPTIONAL)
BusinessLinx is an online firm directory listing for CSI Members.
For more information visit www.csinet.org/businesslinx $ 99.00
TOTAL (U.S. FUNDS ONLY) $ 
SIGNATURE DATE
Required to validate your enrollment form.
Payment made by:  ❍ VISA   ❍ MASTERCARD   ❍ AMEX   ❍ CHECK (Payable to CSI — please specify “Member Dues” and if renewing
membership, include member ID on check's memo line.)
CARD NO. EXP. DATE
SIGNATURE AMOUNT $
Signature required for credit card charge authorization.
Occupation and Firm Type Codes
Locate the numbers corresponding to your occupation and type of firm, then write them in on the front of this form.

OCCUPATION
100 Architect Engineer 117 Public Agencies 127 Educator 142 Test Lab Personnel 152 Technical Writer
101 Forensic Architect 108 Forensic Engineer Staff 128 Delineator 143 Other 152a C
 omputer Support
102 L andscape Archi- 109 Specifier or Specifi- 118 Estimator 129 Surveyor (type________) Specialist
tect/Designer cation Consultant 119 Urban Planner 130 Building Owner 144 Constructor 152b Systems
103 Civil Engineer 110 Attorney 120 General Contractor 132 Publisher 145 Accountant Administrator
103a Highway 111 Building Official 121 Subcontractor 133 Realtor 146 Insurance Under- 153 A/E Representative
103b Bridge 112 A /E Drafter – CAD 123 Distributor 135 Banker writers 155 Construction Trades
104 Structural Engineer Operator 124 M
 anufacturer’s 136 Surety Advisor 147 Engineering 156 Academic Staff
105 Electrical Engineer 113 Contract Adminis- Rep/Supplier 137 Association Staff Technician 157 Student
106 Mechanical trator 125 Construction Man- 138 Labor Rep- 148 Electronics 158 Building Inspector
Engineer 114 Project Manager ager resentative Engineer
107 Environmental 115 Facilities Manager 126 Electronic Media 139 Developer 150 Graphic Designer
Engineer 116 Interior Designer/ Manufacturing 140 Consultant 151 Environmental
107a W  ater Resources Space Planner Personnel (type_________) Graphic Designer

FIRM TYPE
300 Commercial 302 State Government Supplier 308 Construction 311 Other (indicate on 313 A
 ssociation/
Developer 303 Federal Government 306 A/E Firm Management application) Technical Society
301 Municipal 304 Product Distributor 307 Architectural Design 309 Contractor 312 Academic
Government 305 Manufacturer/ Firm 310 Subcontractor

Chapter Dues
CSI has chapters nationwide. These chapters hold monthly meetings featuring guest speakers and programs on national and local interest. Chapter
members meet people in their area and develop leadership skills by serving on chapter committees. Use the chapter list below to locate the chapter nearest
you. Note the dues for that chapter, and include that amount with your CSI dues when you return your enrollment form. Dues rates listed below are for
Professional, Industry and Associate members only. Contact CSI for dues rates for other membership types. Please write the name of the chapter(s) you
join and its dues on the application. For chapter contact information, meeting date and location information visit www.csinet.org.

Alabama Florida Louisiana Nevada Oklahoma *Dallas–$110

*Birmingham–$100 Florida Southwest –$45 Acadiana–$35 *Las Vegas–$200 *Oklahoma City–$125 *El Paso–$105
Huntsville–$50 Fort Lauderdale–$50 *Baton Rouge–$150 Reno–$24 Oklahoma State *Fort Worth–$115
Mobile Bay–$40 Greater Orlando–$127 New Orleans–$40 New Hampshire Univ.–$0 *Houston–$100
Montgomery–$40 Jacksonville–$25 *Shreveport–$100 New Hampshire–$50 Tulsa–$45 Lubbock–$50
Alaska Miami–$45 Maine Oregon *San Antonio–$100
New Jersey
Cook Inlet–$40 Palm Beach–$60 Maine–$42 Capital–$35 Wichita Falls–$25
*New Jersey–$100
Pensacola–$60 Portland–$65 Utah
Arizona Maryland Princeton–$0
Suncoast–$45 Willamette Valley–$50 *Salt Lake City–$120
*Phoenix–$155 Baltimore–-$50 South Jersey–$0
Tallahassee–$0
*Tucson–$150 Massachusetts New Mexico Pennsylvania Vermont
*Tampa Bay–$125
Arkansas *Boston–$150 *Albuquerque–$160 Allentown–$35 Vermont–$50
Georgia *Central
Little Rock–$40 Worcester County–-$50 New York Virginia
*Atlanta–$110 Pennsylvania–$100
California Michigan Buffalo- Blue Ridge–$0
Hawaii Erie-Northwestern Central Virginia–$35
*East Bay- *Grand Rapids–$100 Western NY–$60
Honolulu–$40 Pennsylvania–$40 *Northern Virginia–$175
Oakland–$135 Lansing–$35 Eastern New York–$65
Idaho Northcentral Penn–$40 Richmond–$45
Fresno–$30 *Metropolitan Long Island–$60
Idaho–$50 Northeast Tidewater–$40
Inland Empire–$60 Detroit–$140 Metropolitan New
Pennsylvania–$0
*Los Angeles–$155 Illinois Saginaw Valley–$0 York–$100 Washington
Pennsylvania
Monterey Bay–$0 Central Illinois–$0 Minnesota *Rochester–$150 Mt. Rainier–$58
Railroad–$40
Orange County–$50 *Chicago–$130 *Minneapolis- Syracuse–$65 Puget Sound–$65
*Philadelphia–$125
Redwood Empire–$40 *Northern Illinois–$100 St. Paul–$155 North Carolina Spokane–$55
Pittsburgh–$40
Sacramento–$50 Indiana Twin Ports-$35 *Charlotte–$125 Wisconsin
*San Diego–$150 Rhode Island
*Evansville–$85 Mississippi Raleigh-Durham–$125 Chippewa Valley–$35
*San Francisco–$115 Rhode Island–$60
*Fort Wayne–$80 Gulf Coast–$40 Triad–$25 Fox River Valley–$35
Santa Clara Valley–$45 *Indianapolis–$110 South Carolina La Crosse–$25
Mississippi–$42 North Dakota
Colorado Charleston–$25 Madison–$30
Iowa Missouri North Dakota/Red River
*Denver–$160 Columbia–$0 Milwaukee–$40
*Central Iowa–$60 Central Missouri–$25 Valley–$55
*Pikes Peak–$125 *Grand Strand–$70 Wausau Area–$60
*Crandic–$120 Greater St. Louis–$50 Ohio Greenville–$40
Connecticut Illowa–$60 *Kansas City–$130 *Akron-Canton–$155 Puerto Rico
*Hartford–$100 Tennessee Puerto Rico–$35
Kansas Southwest *Cincinnati–$90
Housatonic–$50 Chattanooga–$25
*Flint Hills–$110 Missouri–$40 Cleveland–$45 Chapters at Large
*Knoxville–$110
Delaware Mid-Kansas–$35 Montana *Columbus–$70 Ciudad Juarez
Memphis–$40
Delaware–$0 Kentucky Big Sky-$40 Dayton-Miami (Mexico)–$0
*Nashville–$130
District of Columbia Blue Grass–$15 Valley–$90 Costa Rican–$0
Nebraska Texas
*D.C. *Louisville–$100 *Toledo–$65 CSINext (Virtual
Nebraska–$55 *Amarillo–$175
Metropolitan–$125 Chapter)–$25
Austin–$45

*Includes all or some meals.

CSI allocates $16.50 of membership dues to The Construction
Specifier magazine. Please check with your tax professional Dues Rates Effective
regarding appropriate business deductions for membership dues. September 2009 through June 2010