MEMBERSHIP COMMITTEE
P.O. BOX 24510,
www.ird.net
MEMBERSHIP APPLICATION
LAST NAME__________________________FIRST
NAME________________________INITIAL_____
TITLE__________________________________________DATE
OF BIRTH_____________________
COMPANY__________________________________________________________________________
BUSINESS:
STREET_______________________________CITY___________________STATE_______ZIP______
BUS. PHONE
(______)-______-_____________
FAX (______)-_______-________
E-MAIL
ADDRESS ________________________
HOME:
STREET_______________________________CITY___________________STATE_______ZIP______
HOME PHONE (_____)-_____-____________ E-MAIL ADDRESS ________________________
IRD MAILING TO BUSINESS ( ) HOME ( )
PLEASE GIVE RECORD OF GENERAL AND TECHNICAL
EDUCATION AND/OR PROFESSIONAL CAREER. STATE SPECIFICS OF ROLL PASS DESIGN EXPERIENCE,
SUCH AS: ANGLES, CHANNELS, REBAR, GUIDES, SPECIAL SECTIONS, STRUCTURALS ETC.,
INCLUDING YEARS OF EXPERIENCE. USE A SEPERATE SHEET IF REQUIRED.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
LIST TWO MEMBERS AS REFERENCE:
1.________________________________________________
2.________________________________________________
"ACTIVE MEMBERS" MUST BE NOW, OR
HAVE BEEN, ACTIVELY ENGAGED IN THE ART OF ROLL DESIGN, AND/OR RESPONSIBLE FOR
ROLL SHOP OPERATIONS. “OPERATIONS MEMBERS" ARE ROLLING MILL
PERSONNEL WHO ARE NOT ASSOCIATED WITH THE ROLL SHOP. “ASSOCIATE
MEMBERS" ARE TO BE REPRESENTATIVES OF
COMPANIES WHICH SUPPLY ROLLS, EQUIPMENT, TOOLS, ETC., AND HAVE DIRECT
CONTACT WITH ROLL SHOP PERSONNEL.
FEE: $
150.00 INITIATION ( NOT INCLUDING FIRST
YEAR DUES)
$ 75.00 ANNUAL DUES.
INCLUDE
A CHECK PAYABLE ON A U.S. BANK IN THE AMOUNT OF $225.00 WITH APPLICATION.
SIGNED:
_____________________________________________ DATE:
_____________________
APPROVED:
___________________________________________ DATE:
_____________________
APPROVED:
___________________________________________ DATE:
_____________________
PLEASE ENCLOSE A BUSINESS CARD FOR
REFERENCE.
MEMBERS WHO HAVE REACHED THE AGE OF 65 ARE NOT
REQUIRED TO PAY ANNUAL DUES.