MEMBERSHIP APPLICATION

Name: ____________________________________ Designations: __________________________ Title: ____________________________________________________________________________

Organization: _____________________________________________________________________

Address: _________________________________________________________________________

City: ______________________________________ State: __________ Zip: __________________

E-mail: ____________________________________ Phone: _______________________________

MEMBERSHIP CATEGORY: !Active Member:

Since CSPI is all about partnership, we offer a discount when a Convention Center, Destination Marketing Organization and/or headquarter hotel partner join together.

!$285.00 each when a Center, DMO or Hotel join together (includes 2 members)

!$385.00 when a Center, DMO or Hotel joins independently (includes 2 members)

!$135.00 for additional members from the same organization

!Affiliate Member:

!$535.00 for companies that supply goods or services to the convention industry (one individual will represent the company)

METHOD OF PAYMENT (US funds and US banks only):

!Check: Amount: ________

" Complete application and email to pam@cspionline.org " Mail application with check to: CSPI, PO Box 39, Buck Hill Falls, PA 18323

!Credit card: Amount: ________ !Visa !MC !AMEX

Cardholder Name: ____________________________________________________________

Address (if different than above): ________________________________________________

Account #: _________________________________ Exp. Date: _______ CVV Code: ______

" Complete application with credit card information and email to pam@cspionline.org

Feel free to contact Stephen Jackson, Membership Chair, with any questions at 919.645.2655

CSPI - www.cspionline.org - info@cspionline.org - 570.871.0818