WHEA CHAPTER MEMBERSHIP FORM - Wisconsin Healthcare Engineering Association

Filling out this form is for renewing your membership by check. Select the correlating links for your chapter if you would like to renew your membership online with a credit card for Chapter I, Chapter II or Chapter III.

Chapter # You are Renewing:*
Name*
First Middle Initial Last
Credentialing Suffix. List them in the order you would like them after your name (up to 4): This is for letters only, not for titles or awards. (Example: CHFM, MBA, etc.)
Facility/Company Name:
Position or Title:
Full Member Occupational Categories
Ctrl+Click all that apply
Associate Member/Vendor Service Categories
Ctrl+Click all that apply
Address*
Street Address City State ZIP Code
Work Phone:*
Email Address:*
ASHE Member?:*
What year did you become an ASHE member:*
Member of NFPA?:*
NFPA Membership Date:*

AHJ Engineer
Architect
Building Services Management
Construction Management
Controls Systems
Environmental Services
Facilities Management
Maintenance Services
Support Services
Safety Services
Security Services
Electrical Services
Energy Services
Engineer
HVAC Services
Life Safety Systems
MECH Certified
Mechanic
Building Operations Management
Plant Services
Project Management
Quality Management
Risk Management

AHJ Engineer
Architect
Building Services Management
Construction Management
Controls Systems
Environmental Services
Facilities Management
Maintenance Services
Support Services
Safety Services
Security Services
Electrical Services
Energy Services
Engineer
HVAC Services
Life Safety Systems
MECH Certified
Mechanic
Building Operations Management
Plant Services
Project Management
Quality Management
Risk Management