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					CNU
MEMBERSHIP                                                                  HELP BUILD THE VISION.



CNU MEMBERSHIP                                           PAYMENT
I am joining/renewing at the following level:            ●   Check made payable to Congress for the New Urbanism
                                                         ●   International money order
●   Individual U.S. $185/year
                                                         ●   Authorized credit card charge
    Annual membership benefits for one individual   $
                                                             ● Visa     ● MasterCard    ● American Express

●   Non-Profit ● Elected Official ● Recent Grad              ● Diner’s Club

●   International        All options, U.S. $100/year     Card No.
    Annual membership benefits for elected
    officials, individuals working with a tax-exempt     Expiration Date
    NGO, individuals outside the U.S., or recent
                                                         Signature
    graduates (within the last five years) from a
    related degree program with documentation of
                                                         Complete or attach a business card:
    past enrollment                                  $
                                                         Name (Mr./Ms.)
●   Student    U.S. $50/year
    Annual electronic membership benefits for a          Job Title
    student (any field) with proof of full-time
                                                         Organization
    enrollment in accredited degree program         $
                                                         Address
●   Group Rate
    ____ (min. 3) x $165 ea. = U.S. $____/year           City/State/Zip                                    Country
    Annual membership benefits for one individual
    when three or more individuals from the same         Telephone                       Fax
    organization join together                      $
                                                         E-mail
●   Govt. Group Rate
                                                         A valid e-mail address is necessary for full access to CNU.org.
    ____ (min. 3) x $150 ea. = U.S. $____/year           If purchasing more than one membership, please provide a
    Annual membership benefits for one individual        business card or contact information for each individual who
    when three or more individuals from the same         will receive membership benefits.
    government department join together             $
                                                         Please check one category that most closely
                                                         describes your professional affiliation:
CHAPTER MEMBERSHIP                                       ● Academic           ● Journalist
Requires CNU Membership above.                           ● Architect          ● Landscape Architect

●   Carolinas $35      ●   New England $30               ● Broker             ● Nonprofit (NGO)

●   DC $30             ●   New Jersey $30                ● Citizen Activist   ● Planner

●   Florida $30        ●   North Texas $40               ● Developer          ● Public Agency

●   Illinois $30                                    $    ● Elected Official   ● Researcher
                                                         ● Engineer           ● Student
                                                         ● Finance            ● Other

GIFT TO CNU
●   I would like to donate an additional $______         CNU.org includes a directory of CNU Members.
    to CNU. (All donations are tax-deductible            ● Please do not publish my contact information
    to the fullest extent allowed by law.)          $      on CNU.org.

                                                         PLEASE RETURN THIS FORM WITH YOUR PAYMENT
                                          TOTAL     $
                                                         OR JOIN ONLINE AT WWW.CNU.ORG.

                140 S. Dearborn Street
    Congress    Suite 310
  for the       Chicago, Illinois 60603
    New         tel: (312) 551-7300
 Urbanism       fax: (312) 346-3323
                www.cnu.org

				
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