2013 PSC Association Membership Application
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The Voice of the Government Services Industry Professional Services Council NEW MEMBER APPLICATION—Trade/Professional Association Membership Trade/Professional Association membership in the Professional Services Council (PSC) is available to trade or professional associations representing segments of the professional and technical services industry. Association Information Association Name _________________________________________________________________________________ Association Address _______________________________________________________________________________ Main Telephone __________________________________ Main Fax _______________________________________ Association Web Address ___________________________________________________________________________ Key PSC Contacts Principal Contact _________________________________ Title ___________________________________________ Address _________________________________________________________________________________________ Telephone _______________________________________ FAX ___________________________________________ E-mail Address ___________________________________________________________________________________ Assistant’s Name, Telephone, and E-mail Address ________________________________________________________ Alternate Contact_________________________________ Title ___________________________________________ Address _________________________________________________________________________________________ Telephone _______________________________________ FAX ___________________________________________ E-mail Address ___________________________________________________________________________________ Assistant’s Name, Telephone, and E-mail Address ________________________________________________________ *Primary Contact _________________________________ Title ___________________________________________ Address _________________________________________________________________________________________ Telephone _______________________________________ FAX ___________________________________________ E-mail Address ___________________________________________________________________________________ Assistant’s Name, Telephone, and E-mail Address ________________________________________________________ *The Primary Contact is the individual whom you wish to manage your company’s membership with PSC. 4401 Wilson Boulevard, Suite 1110, Arlington, Virginia 22203 P: 703-875-8059 F: 703-875-8922 www.pscouncil.org
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2013 PSC Association Membership Application
Transcript of 2013 PSC Association Membership Application
The Voice of the Government Services Industry
Professional Services Council
NEW MEMBER APPLICATION—Trade/Professional Association Membership
Trade/Professional Association membership in the Professional Services Council (PSC) is available to trade or
professional associations representing segments of the professional and technical services industry.
Association InformationAssociation Name _________________________________________________________________________________
Association Address _______________________________________________________________________________
Main Telephone __________________________________ Main Fax _______________________________________
Association Web Address ___________________________________________________________________________
Key PSC ContactsPrincipal Contact _________________________________ Title ___________________________________________
Address _________________________________________________________________________________________
Telephone _______________________________________ FAX ___________________________________________
E-mail Address ___________________________________________________________________________________
Assistant’s Name, Telephone, and E-mail Address ________________________________________________________
Alternate Contact _________________________________ Title ___________________________________________
Address _________________________________________________________________________________________
Telephone _______________________________________ FAX ___________________________________________
E-mail Address ___________________________________________________________________________________
Assistant’s Name, Telephone, and E-mail Address ________________________________________________________
*Primary Contact _________________________________ Title ___________________________________________
Address _________________________________________________________________________________________
Telephone _______________________________________ FAX ___________________________________________
E-mail Address ___________________________________________________________________________________
Assistant’s Name, Telephone, and E-mail Address ________________________________________________________
*The Primary Contact is the individual whom you wish to manage your company’s membership with PSC.
4401 Wilson Boulevard, Suite 1110, Arlington, Virginia 22203 P: 703-875-8059 F: 703-875-8922 www.pscouncil.org
Key Executives* Name Corporate Title Phone Number E-mail
CEO
Asst. to CEO
CFO
President
General Counsel
Head of HR
Head of Govt. Relations
Head of PR/Communications
*For PSC internal classification use. Please list actual corporate titles in the space provided.
Trade/Professional Association Membership $100.00 Trade or professional associations representing segments of the professional and technical services industry.)
AcceptanceDues cover one year of membership in PSC. The date your original application is received is your renewal date for subse-quent years. New member applications are subject to the approval of the PSC Board of Directors.
Amount of Dues Enclosed $ ________________________ Affairs of PSC are conducted in accordance with our Charter, Bylaws, and Code of Professional Conduct. I hereby ac-knowledge that I am aware of PSC’s Code of Conduct and agree to adhere to its terms.
Payment information
Credit card number ______________________________________________________________________
Expiration date ____________________ Security code _________________________________________
Signature ________________________________________ Title_______________________________ Date _________
PSC dues are:• 96% allowable for inclusion in the indirect rates of government contractors and • 89% may be deductible for federal income tax purposes. (According to IRS regulations, the portion of dues allocable to
lobbying activity is not tax deductible. PSC estimates that 11% of your dues is allocable to lobbying activities and, therefore, not deductible.)
Dues paid to PSC are not deductible as charitable contributions. Please consult your tax advisor for individual assistance for your specific situation.
January 2013
