2015 PSC Membership Application & Renewal Form

Page 1

2015

Membership Application

Professional Services Council

The Voice of the Government Services Industry

Regular Membership is available to for-profit companies providing or seeking to provide professional or technology services to the federal government.

New member application Renewal Save time by renewing online at www.pscouncil.org

Associate Membership is available to companies providing services to for-profit companies furnishing professional or technology services to the federal government. Associate members must not have or seek to obtain government contracts and do not have representation on the PSC Board of Directors.

>

Company Information Company Name: __________________________________________________ HQ Address: _______________________________________________________ _______________________________________________________ Main Telephone: ___________________________________________________ Website: ____________________________________________________________ # of Field Offices: ___________ # of Employees: ________________

Company description of 50 words or less (to appear in the online membership directory):

________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________

Which categories describe your core business? (check all that apply) c c c c c c c

Banking/Lending Cybersecurity Facilities Management & Logistics Investigation/ID Svcs. Operations & Maintenance Security Training

c

Commercial Real Estate

c Construction

c Engineering

c Environmental

Human Resources c IT Services/Solutions c Project Management c Software Development c Other _________________

c Insurance

c

c Consulting

Services

c Executive

Search Development c Marketing/PR c Risk Management c Telecommunications c Intl.

c Legal c Public c Tax

Affairs and Accounting

Business Classifications (check all that apply) Native American

Native Hawaiian

SDVO

SB

SDB

VO

WO

c 8(a)

ANC

MO

HHS

NASA

Hubzone

Other Business Classification ___________________________________

Government Customers (check all that apply) CIA

DHS c DIA

c NSA

>

State

USAID

DNI

DOD

VA

DOE

DOI

DOJ

DOL

DOT

FAA

FBI

NRO

Other _______________________________________________________

Regular Membership Dues: Most recent year’s Corporatewide Gross Annual Revenue (GAR) $____________. Based on your GAR, select the dues category that defines your company:

Associate Membership Dues: Please select

the dues amount for the category that applies to your company.

Dues

Company Type

< $2.8M

$750

Financial Institutions

$2.8M - $58.8

(GAR in millions x $300)

[ex. $10M GAR = 10 x $300]

750M - $10B

$58.9M - $100M

$19,400

> $10B

$101M - $300M

$24,500

$301M - $500M

$28,200

$501M - $1B

$32,000

$1B - $4B

$34,000

> $4B

$36,000

GAR Amount

NGA

4401 Wilson Boulevard, Suite 1110, Arlington, Virginia 22203

< $750M (in assets)

Dues

$2,900 $4,500 $5,800

Law Firms 1-40 lawyers

$2,900 41-99 lawyers $4,500 > 99 lawyers $5,800 Other Professional Services Firms $5,800

P: 703-875-8059

F: 703-875-8922

www.pscouncil.org


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.