The Society for Industrial Archeology Consultant Directory Registration Form

On-line Registration - SIA Industrial Archeology Consultant Directory

(1) Fill out the registration form once for each listing. ***Be sure to complete the required fields***

(2) When you have completed the form, make a note of the total amount due. A $25 registration fee is required and you must be a current SIA member. (You can join or renew on form below).

(3) Click the "Submit form" button on the bottom of the page to send form to the Society for Industrial Archeology. You will receive an email message from the SIA outlining your registration.

(4) Your browser should then display the "SIA Form Sent" page with a link to our SECURE CHARGE CARD payment form or information about PAYING BY CHECK.

Click the link to go to the SIA SECURE payment form if you wish to charge your registration. Fill out the SECURE payment form and click the "Submit payment" button to complete your on-line payment. Be sure to fill out all fields on the SECURE payment form. Incomplete payment information will delay your registration. You will receive an email message confirming your online payment.

If you wish to PAY BY CHECK, you will be asked to mail your check payment to the SIA, Dept. of Social Sciences, MTU, 1400 Townsend Dr, Houghton, MI 49931.

Questions ? Please contact; SIA Headquarters - (906) 487-1889, sia@mtu.edu

Name (required)
Name of firm if appropriate
Mailing Addr. Line 1 (required)
Mailing Addr. Line 2
Mailing City (required)
State/Province (required)
Mailing Zip/postal code (required)
Country
Your business phone (required)
Your FAX phone
Your web site address
Your E-mail (required)
Registration Fee

Consultant Directory Registration Fee $25.00
(You must also maintain a current SIA membership-You can join or renew below)

Geographic areas of work (states, provinces, regions, countries, etc)

Educational, training or other professional qualifications

Categories of Expertise

Check all that apply

Anthropologist
Archaeologist
Architect
Archivist
Bridges
Building rehabilitation
Building Specialist
Cartographer
Civil Engineer
Conservator
Corporate Histories
Craft & Trade
Cultural Tourism & Marketing
Documentation
Educator
Electrical Engineer
Environmental Assessment
General Preservation
Historian
Heritage Landscape
Illustrator
Machinery restoration
Millwright
Museum Specialist
Photographer
Planning
Power & Machinery
Public sector heritage
Railroads
Recorder
Research
Rehabilitation
Restoration
Section 106 work
Shipwright

Other Categories not already listed:
Other 2:

Other 3:

Other 4:
Other 5:
Other 6:
Optional: A brief statement to elaborate on your experience or other qualifications (You may email seperate text and/or logo graphics (jpeg or gif) for your directory listing to sia@mtu.edu

Join or renew now

My dues for 2008 already paid
Join now - new membership
Renewal for 2008

Check box ONLY if joining or renewing with a mailing address outside of North America

$10.00 mailing fee for memberships mailed outside of North America

Select a membership category ONLY if joining or renewing.

See the SIA web site (http://www.sia-web.org) for membership benefits and activities.

    Individual membership: $50 (USD) per membership year
    Household/joint membership: $55 (one set of publications)
    Student Membership: $20 (You will need to mail us a copy of your current ID)
    Institutional Membership: $50 (Be sure to include contact name)
    Contributing Membership: $100 (May include spouse as joint contributing member)
    Sustaining Membership: $150 (May include spouse as joint sustaining member)
    Corporate Membership: $500 (Be sure to include contact name)

    Donations to the SIA
    General Fund $,Travel scholarship fund $,
    Vogel Prize Fund $ Preservation Grant Fund $
    Total amount $ Remember total & enter amount on Secure Server Form
    Any special instructions or questions: