UAA Institutional Membership - Invoice Request Form

UAA Institutional Membership - Invoice Request Form

Use this form to request an invoice that you can use to process an Institutional Check or ACH payment.
- What is your preferred way to pay?*
  
  Institutional CheckACH Payment
- Name of Purchasing Institution (and any other info that your institution requires on the invoice in order to process it - see example below)*
  Example: University of Wisconsin-Milwaukee | P.O. Box 413 Milwaukee, WI 53201 | Tax number/VAT: 123456789
- Billing Email (your invoice will be sent to this address)*
  example@example.com
- UAA proudly promotes its institutional members in its Membership Directory. Please provide the information below to help us complete your profile.
- Name of Institution*
  Example: University of Wisconsin-Milwaukee
- Name of Department / Unit / Center (if applicable)
  Example: Department of Urban Studies
- Your institutional representative is the person who will receive the UAA membership benefits, including access to UAA journals, a conference registration discount, and access to UAA's professional development opportunities. Please provide their information below.
- Name*
  
  First NameLast Name
- Email*
  example@example.com
- Processing Turnaround Time*
  
  I understand that UAA Staff will update my membership profile within 1-2 business days of receiving the check via mail. I will receive an email notification when my profile is updated.
- Should be Empty: