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Transcript
American Marketing Association
INTERNATIONAL Membership Application Form
SLIM
Membership No.: ...............................
Category: ...............................
Authorization: ...............................
Receipt No.: ...............................
Role
Marketer
Market Researcher
Academic
Name
Prefix
First
Middle initial
Last
Male
Female
Primary Address
Home Address
Work Address
Employer/Institution
Title
Street
City
Postal Code
State/Province
Country
Primary Contact Information
Phone:
Home
Cell
Work
Country Code
City Code
Number
Extension
Email
Communication Preferences
Do not publish my information in the Membership Directory.
Do not send email notifications from AMA
(Unless otherwise specified, the above information will be published in the directory.)
Interest / Responsibilities (select up to 4)
Academia
Advertising
Analytics / Metrics
Brand / Product Management
Consumer Products /
Packaged Goods
Customer Engagement
Database / CRM
Direct Marketing
Email Marketing
Event Management / Marketing
Global Marketing
Green Marketing
Higher Education Marketing
Marketing Communications
Marketing Research
Media Planning / Buying
Merchandising / Retail
Nonprofit Marketing
Online / Interactive Marketing
Packaging / POP
Product Management /
Development
Professional Development
Professional Services
Promotion Marketing
Public Relations
Sales / Sales Management
Shopper Insights
Social Media
Strategy / Planning
Statement of Ethics (required; print form and sign)
As an AMA member, I agree to abide by the AMA Statement of Ethics, embracing the highest ethical norms and values for marketers. (1) Marketers must first do no harm.
(2) Marketers must foster trust in the marketing system. (3) Marketers should embrace, communicate and practice the fundamental ethical values that will improve consumer
confidence in the integrity of the marketing exchange system.
Any AMA member found to be in violation of the Statement of Ethics may have his or her Association membership suspended or revoked. A complete copy of the AMA
Statement of Ethics is available online at MarketingPower.com. In order to validate your application, please sign the Statement of Ethics.
I subscribe to the Statement of Ethics and will adhere to it: Signature______________________________________________
Date _____________
0312
Page 1
continued »
American Marketing Association
INTERNATIONAL Membership Application Form
Membership Dues
Annual Membership Dues
Country (required)
Sri Lanka
Amount
US$ 100 (discounted rate)
Base Membership Dues
2 Years » 10% DISCOUNT
1 Year
Membership Dues with complementary online publication
3 Years » 15% DISCOUNT
Membership Dues Subtotal
US$
For Academic Applicants Only
Consumer Behavior
Interorganizational
Marketing Research
Services Marketing
Diversity and Marketing
Marketing and Entrepreneurship
Marketing Strategy
Doctoral Students
Marketing and Society
Relationship Marketing
Sports and Special Events
Marketing
Global Marketing
Marketing Communications
Retailing and Retail Management
Teaching and Learning
Innovation, Technology and
Interactivity
Marketing for Higher Education
Selling and Sales Management
Special Interest Groups (SIGs) (for academic applicants only; select 1 SIG to be included with your membership)
Additional Special Interest Groups
One SIG is included in your membership. You may join additional SIGs for US$20 each/year.
Multiply the number of additional SIGs by US$20
Then multiply that by the number of years in your membership package
= US$
Publications
Complimentary: In addition to Marketing News, one publication of your choice is included in your membership. Please select one.
Additional Publications: You may also subscribe to additional electronic publications at the discounted rates below.
*If you prefer to have your publications in print and mailed to you, add the international postage fee to each publication.
Publications by Pricing Tier
Complementary
Journal of Marketing (Bimonthly)
Journal of Marketing Research (Bimonthly)
Journal of International Marketing (Quarterly)
Journal of Public Policy & Marketing (Semiannually)
Marketing Management magazine (Quarterly)
Marketing Research magazine (Quarterly)
Marketing Health Services magazine (Quarterly)
Additional
Tier 1
$80
$80
$75
$75
$80
$75
$75
Int’l Postage*
+$10
+$10
+$10
+$10
+$5
+$5
+$5
$
$
$
$
$
$
$
Publications Subtotal (if applicable)
$
Additional Publications Total (if applicable)
$
*Additional fees charged for print publications.
Multiply Subtotal by number of years in your membership package
Tier 2 / 3
$50
$50
$50
$50
$50
$50
$50
Payment Information (print form and complete this section)
Membership Dues $
+ Academic SIGs $
Promo Code:
+ Additional Publications $
(if applicable)
Cheque
Credit Card:
Card Number
Signature
= Total Payment $
(if applicable)
American Express
MasterCard
3-Digit Security Code
________________________________________________
Date (mm/dd/yyyy)
Return Your Completed Form with Payment to:
Sri Lanka Institute of Marketing • No 94, Ananda Rajakaruna Mw, Colombo 10 • Tel: 0112 675 000
Email: [email protected] • Fax: 0112 681 660 • www.slim.lk
0312
Page 2
Visa
Exp. Date (mm/yyyy)
C