Calling
new members!
If you know of anyone who would be interested in joining
MAP please print this form and pass it along
MAP Membership is based upon a July 1 to June 30 Fiscal Year
Click here to check your membership status
MAP MEMBERSHIP APPLICATION
Name:____________________________________________________
* Indicate here ____ if you wish to keep work information confidential. *
Business Address:________________________________________
City, State, Zip:___________________________________________
Present Employer:________________________________________
Job Title:________________________________________________
Business Phone ______________ Business Fax ________________
Business EMail _______________ Business Web _______________
* Indicate here ____ if you wish to keep home information confidential. *
Home Address:__________________________________________________
City, State, Zip:___________________________________________
Home Phone ________________ Home Fax ___________________
Home EMail _________________ Home Web __________________
* Indicate here ____ if you wish to keep education/experience confidential. *
Degrees Held:___________________________________________
Years of Experience in General Field of Planning ______
Are you in the: public sector ____ or private sector ____
Membership in other professional organizations and societies:
___________________________________________
FULL MEMBERSHIP $40.00
PLANNING BOARD, STUDENT, CITIZEN PLANNERS $20.00
Please make your check payable to Maine Association
of Planners.
MAIL OR FAX TO:
Maine Association of Planners
c/o Linda Johns
City of Brewer
80 North Main Street
Brewer, ME 04412
Voice: 989-7790
Email: ljohns@brewerme.org