________________________________________ Date ____________________________________________ Member ID 2015 Chapter Transfer Request AIA Bylaws – 2.07 Component Assignment 2.072 Assignment/Transfer. At the written request of a member, the Institute shall transfer the member’s assignment from one chapter to another provided that the transferring member either lives or works within the territory of the new chapter. PERSONAL INFORMATION Mr. Mrs. Ms. First name M.I. Last name Home address Apartment number City State ZIP Country Home phone Home fax Cell phone Date of birth Home e-mail *Your birth date enables the AIA Trust to issue new architect members a $15,000 life insurance policy premium free for one year. COMPANY INFORMATION Company name Job title Company address Suite/floor number City Office phone Mailing Preference: Office fax Home Office State ZIP Office e-mail Company web address Primary Email: Home Office Country Primary Phone: Home Office CHAPTER TRANSFER INFORMATION I have recently moved and request a chapter transfer to AIA _____________________________________________based on my: Office address OR Home address Please return by mail, fax, or e-mail: AIA Colorado | Attn.: Hannah Zippin | 303 E. 17th Ave., Ste. 110 | Denver, CO 80203-1253 Fax to: (303) 446-0066 | E-mail to: [email protected] QUESTIONS? Contact AIA Colorado at (303) 446-2266