2014 PSC Regular Membership Renewal/Application

Page 1

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 technical services to the federal government. ☐ New member application

☐ Renewal (save time by renewing online at www.pscouncil.org)

Company Information Company Name:_________________________________

HQ Address:___________________________________

Main Telephone:_________________________________ # of Field Offices:________

# of Employees:________

___________________________________

Website:______________________________________

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

Which category best describes your core business? ☐ IT Services ☐ Facilities Management & Logistics ☐ International Development ☐ Consulting

☐ Environmental Services ☐ Engineering ☐ Operations & Maintenance ☐ Other _________________________________

Business Classifications (check all that apply)

☐ Native American ☐ Native Hawaiian ☐ SDVO ☐ SB ☐ SDB ☐ VO ☐ WO ☐ 8(a) ☐ ANC ☐ MO ☐ Hubzone ☐ Other Business Classification _________________________________

Government Customers (check all that apply)

☐DoD ☐DoE ☐DHS ☐DOJ ☐DOL ☐DOT ☐DHHS ☐State ☐DOI ☐VA ☐FAA ☐NASA ☐USAID ☐Intel

Core Issue Areas (check all that apply) ☐ Audits and Access to Records ☐ Affordable Care Act ☐ Accounting and Finance ☐ Appropriations Legislation ☐ Acquisition Policy ☐ Authorization Legislation ☐ Acquisition Workforce ☐ Conflicts of Interest ☐ Cybersecurity and Information Protection

☐ International Development ☐ Insourcing ☐ IT Acquisition ☐ Labor Issues ☐ M&O Contracting ☐ Small Business Policy ☐ Security Clearances ☐ Service Contracting ☐ Sequestration/Spending Cuts ☐ Transparency and Accountability ☐ Tax Policy

☐ Commercial Items/Services Acquisition ☐ Competitive Sourcing ☐ Contract Type ☐ Contract Vehicles ☐ Deployed Employees ☐ Debarment and Suspension ☐ Ethics and Compliance ☐ FFRDCs ☐ Industrial Base and Competitiveness

Financial Information & Membership Dues Most recent year’s Corporate-wide Gross Annual Revenue (GAR) $____________ Based on your GAR, select the dues category that defines your company:

☐< $2.8M ☐ $2.8M - $58.8M ☐ $58.9M - $100M ☐ $101M - $300M

= $750 = (GAR in millions x $300) ex. $10M GAR = 10 x $300 = $3,000

= $19,400 = $24,500

☐ $301M - $500M ☐ $501M - $1B ☐ $1B - $4B ☐ > $4B

4401 Wilson Boulevard, Suite 1110, Arlington, Virginia 22203

P: 703-875-8059

= $28,200 = $32,000 = $34,000 = $36,000 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.