SGTP Membership 2014 Application - Society of Government Travel

Society of Government Travel Professionals
2014 MEMBERSHIP APPLICATION
MEMBER REPRESENTATIVE NAME
TITLE
(New & Renewals)
__________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ORGANIZATION ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
ADDRESS
CITY
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________
STATE
_______________________________________________________________________________________________________
PHONE _________________________________________________________________________________________________________________________ EMAIL
WEBSITE ADDRESS ___________________________________________________________________________________________________ FAX
ZIP______________________________________________________
_________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________
MEMBERSHIP LEVEL
New Member Initiation One Time Fee
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50
Government Employee (Any Federal, State, or Municipal Government Employee) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 195
Supplier Regular (Supplier Membership is for all service and supplier providers) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 395
Supplier Supporting and/or Small Business Certified Suppliers
(Applies to
individual hotels or
........................................................................................$
195
Certified Small Businesses. Please check one.)
TMC Regular or Gov. Contractor CRC Travel Manager
.....................................................................................................$
395
(Limited to Gov. contractors that act in the capacity as the travel manager for the corporation or entity)
TMC/Gov. Contractor CRC Travel Manager Small Business Certified
...................................................................................$
195
(Limited to Gov. Contractors that Act in the capacity as the travel manager for the corp. or entity)
*Government Contractor/Travel Manager only applies to the individual that manages staff travel for the organization and not to those persons that supplier other
services to federal, military or state government agencies. All other government contractors fall under the Supplier Category.
METHOD OF PAYMENT (Select one, please print clearly)
COMPANY CHECK IN THE AMOUNT OF $ _______________________________________________________ (Mail payment payable to SGTP PO Box 158 Glyndon, MD 21071)
CHARGE CREDIT CARD IN THE AMOUNT OF $ _____________________________________________ (For credit card charge, fax this form to SGTP 202.379.1775)
CC #
_________________________________________________________________________________
NAME ON CARD
_____________________________________________________________________________________
EXP. DATE ________________________________________
CREDIT CARD BILLING ADDRESS _____________________________________________________________________________________________________________________________________________________________________________________________________________________
CITY
_________________________________________________________________________________
STATE
AUTHORIZING SIGNATURE TO PROCESS CHARGE AMOUNT
_______________________________________________________________________________________________________
ZIP______________________________________________________
_____________________________________________________________________________________________________________________________________________________________________