Professional Services Council
The Voice of the Government Services Industry Associate Membership is available to companies providing services to for-profit companies furnishing professional or technical 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. ☐ 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) __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________
Core Issue Areas
☐ 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
☐ Commercial Items/Services Acquisition ☐ Competitive Sourcing ☐ Contract Type ☐ Contract Vehicles ☐ Deployed Employees ☐ Debarment and Suspension ☐ Ethics and Compliance ☐ FFRDCs ☐ Industrial Base and Competitiveness ☐ 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
Key Contact Information Please enter the names and contact information for the contacts that will manage your PSC membership along with the information of the functional roles listed below. Key Executives
Name
Corporate Title
Phone Number
Principal PSC Contact* Primary PSC Contact^ CEO (or equivalent) Asst. to CEO CFO General Counsel Head of HR/Labor Head of PR/Communications Head of Marketing Head of Business Development *The principal point of contact is typically in a leadership role within your organization. They are the main billing contact and contact for association issues. ^The primary point of contact manages the PSC membership, is the main contact for updates to the corporate roster, and is the secondary billing contact.
4401 Wilson Boulevard, Suite 1110, Arlington, Virginia 22203
P: 703-875-8059
F: 703-875-8922
www.pscouncil.org
Financial Information & Memberhsip Dues Please select the dues amount for the category that applies to your company: Financial Insitutions ☐ < $750M = $2,900 ☐ $750M - $10B = $4,500 ☐ > $10B = $5,800
Law Firms Other professional services firms ☐ 1 - 40 lawyers = $2,900 ☐ $5,800 ☐ 41 - 99 lawyers = $4,500 ☐ > 99 lawyers = $5,800
Acceptance Affairs of the Professional Services Council are conducted in accordance with our Charter, Bylaws and Code of Professional Conduct. I hereby acknowledge that I am aware of PSC’s Code of Conduct and agree to adhere to its terms. Dues cover one year of membership, established by the acceptance date of this application, which is subject to approval by the PSC Board of Directors. Signature ______________________________________ Title_____________________ Date __________ Payment Information: Total Dues Enclosed: $_______ ☐ Check enclosed or in transit (make payable to The Professional Services Council) ☐ Charge to Card Number: _____________________________________ Expiration date: _____________________________________ Cardholder Name: _____________________________________ Cardholder Signature: _____________________________________ PSC dues are 96% allowable for inclusion in the rates of government contractors. 90% may be deducted for federal income tax purposes. According to IRS regulations, the portion of dues allocable to lobbying activity is not tax deductible. PSC estimates that the remainder of your dues is allocable to lobbying activities and, therefore, not deductible. Dues paid to PSC are not deductible as charitable contributions. Please consult your tax advisor for individual assistance for your specific situation.
Submit Your Application
or mail this application with payment information to: The Professional Services Council Attn: Membership 4401 Wilson Blvd., Suite 1110 Arlington, VA 22203
January 2014