On-Line Membership Application

 
Instructions:
Please print out this form, fill in the boxes and check the appropriate options that apply to you. When complete, please fax back to us at 301/654-6663.

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NAME:
TITLE:
ORGANIZATION:
ADDRESS:
CITY/STATE/ZIP:
PHONE:
FAX:
TOLL FREE:
E-MAIL:
INTERNET ADDRESS:

Please check appropriate member category:

Travel Agent Regular-- $375 First Year/$295 Renewing Years
Includes any travel agent that currently holds a government/CRC contract
ARC#:
 
Travel Agent Small Business--Dues: $195 First Year; $125 Renewing Years
(Average income for last 3 years below $3 million and not holding a government/CRC contract)
ARC#:
Associate-- $195 First Year/$125 Renewing Years
Any Federal, State/Provincial, Local, Higher Education, Health Care Entity or Cost Reimbursable Contractor
Supplier Regular-- $450 First Year/$350 Renewing Years
(Any airline, hotel, rental car company, e-commerce firm, consultant, etc.)
Services Provided to Government Travel:
Supplier Supporting-- $195 First Year/$125 Renewing Years
Additional membership (franchise, etc.) when parent company is already SGTP member).
Parent Company:
Method of Payment:
Payment with Check
After you submit this form, print a copy, and mail it with your check for $ payable to SGTP: 6935 Wisconsin Ave., #200, Salem, NH 03066
 
   
Payment with Credit/Charge Card of $  
   
(Select One)
American Express
Diners Club
Mastercard
Visa
 
   
Card#:
Exp. Date:
Name on Card:
   

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