2013 PSC Association Membership Application

Professional Services Council

The Voice of the Government Services Industry 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

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.)

Acceptance

Dues cover one year of membership in PSC. The date your original application is received is your renewal date for subsequent 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 acknowledge 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