GCSAA - Affiliate Company membership application

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Affiliate Company membership application

Affiliate Individual membership application

Application instructions:

1. Fill out the form completely and legibly -- you can fill it out on screen and then print it.
2. After reading the code of ethics, sign and date the application where indicated.
3. Enclose check for a full year's dues ($320) or indicate credit card number.
4. Please allow up to 4-6 weeks for processing.

Important: No application will be considered without dues enclosed or valid credit card information.

Membership type:

Affiliate Company - $320-- To qualify for Affiliate Company membership, an applicant must be a business firm or governmental body interested in golf course management and/or in the growing or production of fine turfgrass.

Current employment information:

Company name:

Address:

City:

State:

Postal code:

Country:

Type of business:

Business phone number:

Business fax number:

Business website:

Note: Each affiliate company member shall have the right to name one of its owners, employees or other agents as its representative to the Association.

Member Contact information:

An Affiliate Company member contact is the designated person who will have all privileges of the Association except those of voting and holding office.

Preferred mailing address:

Home Business

Ms. Mr.

Member contact name:

Title:

Home address:

City:

State:

Postal code:

Country:

Email address:

Phone number:

U.S. Citizen?

Yes
No

Date of birth:

Applicant signature:

I hereby submit my application for membership in the Golf Course Superintendents Association of America and attach my dues for one year in advance. It is estimated that 8% of my membership dues will be used for advocating positions on government issues, as well as payment of dues term life insurance for all members, excluding non-US citizens, student, affiliate company, and technical assistance network, and that a portion is therefore not tax deductible as a business expense. I have read and agree to abide by the GCSAA Code of Ethics. (Visit GCSAA.org to access a copy of the Code of Ethics.)

Signature:
___________________________________________________

For GCSAA Office Use Only:

___________________________

Date:
___________________________________________________

Method of payment:

VISA MasterCard American Express

Card No.:

Exp. Date:

Check or money order (U.S. dollars drawn on U.S. bank) to:
GCSAA, P.O. Box 219004, Kansas City, MO 64121-9004

GOLF INDUSTRY SHOW	THE ENVIRONMENTAL INSTITUTE FOR GOLF	IAGA	GOLFERS	GOLF INDUSTRY TRAVEL
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The Golf Course Superintendents Association of America is dedicated to serving its members, advancing their profession, and enhancing the enjoyment, growth and vitality of the game of golf. Golf Course Superintendents Association of America 1421 Research Park Drive Lawrence, KS 66049-3859 Tel. 800-472-7878 or 785-841-2240

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