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n Member n Educational Member n Life Member n Student Member (Name of college or university you attend): ______________________________________________________________ ______________________________________________________________ Chapter affiliation desired (If known. See back page.):__________ ______________________________________________________________ Membership sponsor (optional): ____________________________ Sponsor member #: ______________________________________________________ Special Membership Sections and Web-based Training Open to all IIA members. Mark the special offer(s) you would like to accept. (See next page for descriptions and fees.) n CAE Services Program n Control Self-assessment Center n Financial Services Auditor Group n Gaming Audit Group n Issues & Answers (IIAOnlineCPE) n Skills Training (IIAOnlineCPE) Please type or print clearly. n Mr. n Mrs. n Ms. n Other ______________________________________________________________________________________________________ Last name(s) First name(s) Middle Nickname Organization: ______________________________________________ Job title: __________________________________ Address: ______________________________________________________________________________________________ City: ________________________________________________ State/Province: __________________________________ ZIP/Mail code: ____________________________________________Country: __________________________________ Business phone: ( ) ______________________________ Business fax: ( ) __________________________________ E-mail: __________________________________________________________ # of internal auditors on staff: ______________ Job code (see attached listings): ________________ Industry code(s): (1) __________________(2) ________________ n I do not wish for my name to be included on mailing lists other than membership mailings. n I do not wish for my e-mail address to be used for anything other then official IIA communications such as the Auditwire newsletter. n I do not wish for my e-mail address to be used for any IIA communications. 1. Business Data 2. Personal Data 3. Membership Data 4. Dues and Payment (see next page for fees) 5. Applicants Signature Home address: ____________________________________ Cit y: __________________________ St at e/Provi nce: _ ZI P/Mail code: __________________________________________ Country: _ Home phone: ( ) ________________________________ Have you ever been convicted of a felony? n Yes n No Are you a Certified Internal Auditor? n Yes n No Other designations: ________________________________________________________________________________ Send mail to: n Home address n Business address I declare that: 1. All information contained on this application is true and correct. 2. If accepted, I agree to abide by the Code of Ethics adopted by The Institute of Internal Auditors to govern its members. Applicants signature: ____________________________ Date: ______________________________________________________ Application fee: $ __________________ Dues: $ __________________ Specialty membership section: $ __________________ IIAOnlineCPE: $ __________________ Seminar/Conference credit: $ ( ______________ ) For checks drawn on banks outside of the U.S. and Canada, add $30 bank collection charge: $ __________________

TOTAL: $ __________________ Check One: n Payment enclosed. Please make checks payable to The Institute of Internal Auditors. n Charge to my: n MasterCard n Visa n American Express Card #: __________________________________________ Expiration date: __________________________________ Signature: ________________________________________________ IIA Membership #: __________________________ IIA Chapter #: __________________________________ (For office use only) Membership Application Note: Membership application can also be found online at www.theiia.org (continued) Please check appropriate membership classification under Membership Data and record appropriate fees under Dues and Payments on preceding page: In the United States, Canada, and Caribbean nations:* Application fee of $25 and appropriate dues for year of admittance (payable in U.S. funds) must accompany this application. Member $115 Open to individuals involved in internal auditing, internal controls, risk assessment, information systems auditing, and related fields. Also those who have an interest in internal auditing, e.g., members of audit committees, external public accountants, controllers, CEOs, and suppliers of services. Educational Member $65 Individuals principally employed as educators at colleges. Student Member $30 (no application fee) Those engaged full time in the study of internal auditing or related courses at colleges and universities who cannot qualify as a member or educational member. (Will receive Internal Auditor, but not AuditWire.) Member/International $115* Members, educational members, and student members outside the United States, Canada, and Caribbean nations. Life $2100 Regular members who wish to become a life member by remitting a one-time fee. General Dues Information: Dues are billed yearly on the anniversary date of membership. Dues may be tax deductible (U.S. members). Dues and application fees are subject to change at any time by the Board of Directors of The IIA. Annual dues include $40 fee for Internal Auditor and $15 fee for other professional periodicals. These fees cannot be deducted from the dues. * Members-at-large outside the United States, Canada, and Caribbean nations: Dues of $115 plus $25 application fee. For drafts drawn on banks outside the U.S. and Canada, please add $30 to your payment to cover bank collection charges. For wire transfer, add $15. Information regarding dues for chapters and national institutes outside the United States, Canada, and Caribbean nations is furnished upon request. For affiliate (chapter or institute one signature necessary) Date received: ____________________ Recommended class of membership: ______________________________________________ Affiliate name and number: ________________________________________________________________________________________ For affiliate board of governors: ____________________________________________________________________________________ (Signature) (Date) For Institute office: Approved by manager of membership services: n Date: ____________________________________________ Affiliate Address: APPLICANT: PLEASE DO NOT WRITE BELOW THIS LINE. Return Completed Application to: Membership Classifications/Fees Seminar/Conference Credit Sections and Other Opportunities Anyone who has attended an IIA headquarters-sponsored seminar or conference and paid the nonmember price may apply for a free firstyear membership in The Institute within 90 days of attending the program. Please complete the information below and indicate membership credit under Dues and Payment information on front page. No application fee is necessary.

Seminar or conference title: ______________________________ Date:__________________________________________________ Location: ______________________________________________ Or Mail: The Institute of Internal Auditors P.O. Box 281196 Atlanta, GA 30384-1196 U.S.A Or Fax: +1-407-937-1101 Wire transfer: Bank of America Florida Account # 1330059799 Routing # 063100277 SPECIAL MEMBERSHIP SECTIONS The IIA is responsive to the specialized needs of its members through special membership sections. Sections foster networking opportunities with others in your area of interest and are designed to help meet audit specialty or industryspecific needs on a global basis. Benefits may include a newsletter or e-mail bulletin, membership directory, special discounts, and other opportunities. For a complete listing of benefits, visit www.theiia.org then click on Services. Annual dues are in addition to IIA membership dues. CAE Services Program Exclusively for chief audit executives. Annual dues: $100 CSA Center For individuals involved in control self-assessment. Annual dues: $40 FSA Group Exclusively for financial services audit professionals. Annual dues: $40 Gaming Audit Group For individuals involved with casinos, lotteries, racetracks, other gaming enterprises, and government regulatory commissions or agencies. Annual dues: $40 WEB-BASED TRAINING IIAOnlineCPE Two web-based training programs are available for all IIA professionals: Issues & Answers and Skills Training. Each annual subscription: $245. Combo: $369. Agriculture, Forestry, & Fisheries 0100 Agricultural, forestry, fisheries, production/services Mining 1000 Mining 1300 Oil & Gas Extraction Contract Construction 1500 Construction Manufacturing 2000 Food/kindred products 2100 Tobacco manufacturers 2200 Textile mill products/apparel 2400 Lumber/wood products (incl. furniture/fixtures) 2600 Paper & allied products (incl. printing/publishing) 2800 Chemicals 2830 Drugs and research 2840 Petroleum refining and related industries 3010 Rubber and plastics products 3100 Leather, stone and glass products 3300 Primary metal industries 3400 Fabricated metal products (including nonelectric machinery) 3500 Industrial and commercial machinery 3510 Aerospace 3520 Computers & related devices/equipment 3600 Electrical machinery, electronic equipment & supplies 3700 Transportation equipment 3800 Scientific, photographic, medical goods 3900 Miscellaneous manufacturing industries Transportation, Communications, & Utility Services 4000 Land transportation 4400 Water transportation 4500 Air transportation 4700 Other transportation services

4800 Communication services 4810 Telecommunications 4900 Electric/gas/sanitary services 4910 Gas services 4920 Gas & electric services 4930 Sanitary services Wholesale & Retail Trade 5000 Wholesale trade 5300 Retail trade 5800 Eating and drinking places Financial, Insurance, & Real Estate 6000 Banking & financial institutions 6030 Nonbanking bank services (e.g., leasing) 6040 Thrift and savings & loan organizations 6100 Credit unions 6130 Other credit agencies 6200 Security and commodity services 6300 Insurance carriers, agents, services 6500 Real estate services 6700 Holding/investment companies Services 7000 Hotels/lodging services 7200 Personal/social services 7300 Contracted audit services 7310 Management consultants 7320 Information technology services 7330 Executive placement services 7500 Repair services 7600 Gaming/lottery 7800 Motion pictures/amusement & recreational services 8000 Health services 8100 Legal services 8200 Educational services 8600 Membership organizations 8900 Public accounting/accounting/ bookkeeping services 8910 Miscellaneous services Government 9100 Federal/national government 9200 State/provincial government 9300 Local government 9400 International government Nonclassifiable 9900 Nonclassifiable establishments Industry Codes Job Codes Select the position that best describes your role and function (not necessarily your exact title) in your organization. Enter the appropriate number in the job code section of the application. 200 Chief Audit Executive I am the most senior auditing officer for the organization with ultimate responsibility for the entire internal audit function. 210 Director of Auditing I am the chief auditor authorized to direct a broad, comprehensive program of internal auditing within my organization. 220 Auditing Manager I administer the internal audit activity of an assigned location within the general guidelines provided by the director of auditing. 230 Auditing Staff I conduct, or assist in conducting, reviews of assigned organizational and functional activities. 245 IT Auditing Director I am head of the IT audit activity within my organization. 250 IT Auditing Manager I administer the IT audit activity of an assigned location within the general guidelines provided by the director of auditing. 260 IT Auditing Staff I conduct, or assist in conducting, reviews of assigned organizational and functional activities related to IT auditing. 275 Audit Services Contractor I offer internal audit services on a contracted basis. 280 External Public Accountant I am a practicing public

accountant, chartered accountant, etc. 300 Corporate Management I am a corporate officer, CFO, CIO, CEO (and do not qualify under another job code above). 310 Educator I am principally employed as an educator at a college or university (Ph.D., DBA, Ed.D., etc.). 320 Student I am pursuing a degreed program at a college or university (including doctoral candidates) on a fulltime basis. 330 Retired I am retired from active employment (otherwise refer to another job code). 340 Audit Committee Member I am an audit committee member of a corporate board of directors (and do not qualify under another job code above). 350 Management Consultant I am primarily an independent consultant with an interest in internal auditing (otherwise refer to another job code). 360 Other Specify title or job description. ALGERIA ARGENTINA** AUSTRALIA** AUSTRIA** AZERBAIJAN BAHAMAS BARBADOS BELGIUM** BERMUDA BOLIVIA La Paz Sucre BOTSWANA BRAZIL** CAMEROON CANADA Alberta Calgary Edmonton British Columbia Vancouver Manitoba Winnipeg Newfoundland Newfoundland & Labrador Nova Scotia Maritime Ontario Ottawa Toronto Quebec Montreal Quebec City Saskatchewan Saskatchewan (Regina) CHILE CHINA** CHINESE TAIWAN COLOMBIA Bogota CONGO, DEMOCRATIC REPUBLIC OF THE Kinshasa COSTA RICA CURACAO CYPRUS CZECH REPUBLIC DENMARK DOMINICAN REPUBLIC** ECUADOR** EL SALVADOR ESTONIA ETHIOPIA EGYPT Cairo FIJI FINLAND**

FRANCE** GERMANY** GHANA GREECE GUAM U.S. Pacific (Okinawa) GUYANA HONDURAS HONG KONG, CHINA HUNGARY INDIA** INDONESIA ISRAEL** ITALY** JAMAICA JAPAN** JORDAN KENYA Nairobi KOREA, REPUBLIC OF KYRGYZSTAN LATVIA LEBANON LITHUANIA LUXEMBOURG MALAWI MALAYSIA** MEXICO** MOROCCO NETHERLANDS** NEW ZEALAND** NICARAGUA NORWAY** PAKISTAN Islamabad Karachi Pakistan PANAMA PERU** PHILIPPINES** POLAND PORTUGAL RUSSIA Moscow SAUDI ARABIA Dhahran Riyadh SENEGAL SINGAPORE** SLOVENIA SOUTH AFRICA** SPAIN** SWEDEN** SWITZERLAND** THAILAND** TRINIDAD & TOBAGO TUNISIA TURKEY UGANDA UKRAINE UNITED ARAB EMIRATES Dubai UNITED KINGDOM & IRELAND** UNITED STATES Alabama Birmingham Mobile Montgomery North Alabama (Huntsville) Alaska Arizona Phoenix Tucson Arkansas

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