Membership Application | Arizona Society of Association Executives

Organization Member Application

The AzSAE Organization Membership provides a comprehensive year-round membership for your whole team. Must be a non-profit/trade association to qualify. Individual staff members will need to establish their own login profile and be listed with the organization's membership to receive member benefits. Membership is "owned" by the organization.

Membership annual rate - $500

Tax ID: 86-0276753 | Dues are not tax deductible as charitable contributions; they may be deductible as business expenses, or under other provisions of the IRS Code. Consult your tax advisor.

Organization Membership Application

Membership Dues

Organization ID Code

All New applications: Our system will generate your Org ID code.

If you were given an Org ID code to sign up for an existing organization, enter it now and hit the submit button.

(Use of this box is intended for employees of an existing member company to enter additional members to your account. This applies to these member types only: Organization Member and Strategic Key Partner - Gold.

Your Dues Rate Type is: Organization Member $500.00

Create password for company account

This option allows you to create a password that will be used by your staff to add themselves as a contact to your organization's account.

Contact Information

Preferred Email (Published in Directory) *

Re-enter your email *

First Name *

Last Name *

Suffix

Title

Company *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Country

Website

Personal LinkedIn URL or Handle

Personal X (Twitter) URL or Handle

Personal Facebook URL or Handle

Company LinkedIn URL or Handle

Company X (Twitter) URL or Handle

Company Facebook URL or Handle

Profile Photo

Company Logo

Preferred Phone (Published in Directory)

CC, Org or other Email (Unpublished)

Include me in Membership Directories *
Yes No

Username/Password Username/Password

Please enter the Username/Password you would like to use to login to this website.

Your Username must be unique and must be at least 6 characters.
Passwords must be a minimum of 8 alpha-numeric characters with at least 1 number or 1 letter.

Username *

Password *

Confirm Password *

Additional Information

This company is a nonprofit or association. *
Yes
No

Certifications & Designations you hold:

How did you hear about us?

Payment Details

Payment Method

Enter the name on the bank account according to the information shown on your bank statement. The account number and routing number can be copied from the lower left corner of the check.

Account Type

Checking

Savings

Routing Number

Account Number

Account Holder Type

Business

Personal

Business Name

Account Holder Name

By submitting payment, I am authorizing Arizona Society of Association Executives to initiate a single or recurring ACH/electronic debit in the amount indicated from the bank account I designated above. I understand that this Authorization will remain in full force and effect until the transaction is cancelled by me by contacting Arizona Society of Association Executives, or the ACH/electronic debit is processed from the designated account. I certify that (1) I am authorized to debit the bank account above and (2) the ACH/electronic payment I am authorizing complies with all applicable laws.

Name on Card

Card Number

Expiration

CSC

Billing Street

Billing Zip Code

PO #

Total Amount Due

Organization Member Application

Membership Dues

Contact Information Contact Information

Username/Password Username/Password

Additional Information Additional Information

Payment Details Payment Details

Contact Information

Additional Information

Payment Details