Newfoundland and Labrador Association of Architects P. O. Box 5204, St. John’s, NL, A1C 5V5 Tel. (709) 726-8550 / Fax (709) 726-1549 [email protected] www.newfoundlandarchitects.com NLAA Associate Membership Application Associate Membership: Granted at the sole discretion of the NLAA Council including but not limited to those who apply and hold a degree in architecture, have completed the Internship in Architecture Program (IAP), but who do not hold a license from the Architects Licensing Board of Newfoundland and Labrador, (i.e. Retired License Holders, and persons who have changed careers or on Leave of Absence). The fee for Associate Membership shall be 50 percent of the fee for Full Membership. A. Identification Name of Applicant (please print): Residence Address: Street/P. O. Box #: City: Province: Country Postal Code: Telephone #: Cell #: Email: Date of Birth: (Month) (Day) (Year) Address on the NLAA Website: Yes/No (if you choose no, only your name will be included on the listing) Associate Membership Dues: Cheque: Visa/Master Card $464.00 + 13% HST ($60.32) = $524.32 Payment Method Credit Card Number: Name of Card Holder (please print) Expiry Date: Signature: Signature of Applicant: NLAA Associate Membership Application -1- Date: