Register Form – Regular Membership

JOIN AS A REGULAR MEMBER

Username

First Name

Last Name

Password

Password Again

Include me in the member directory*

Yes

One option is required.

Title (Dr., Mrs., Ms., Mr., Other)

Title is required.

Organization (Required)

Organization is required.

Street Address (Required)

Organization street address is required.

City (Required)

Organization city is required.

State (Required)

Organization state is required.

Zip (Required)

Organization zip code is required.

Direct Phone (Required)

Direct phone is required.

Cell Phone

Website

Their First Name

Their Last Name

Their Email

Auto Renew

7 regular inservice meetings featuring nationally-renowned speakers

Invitation to Year-end luncheon meeting (additional cost for lunch)

Invitations to annual social events

Participation in annual salary and fringe benefit survey and a copy of the results

Exclusive monthly eNews, topics and trends (monthly eblast)

Inclusion in the GCSSA Membership Roster distributed to members