Membership Application

Please complete each of the sections below, then click "Submit Enrollment". Required fields are noted by an asterisk*.

Eligibility Criteria

Person who is employed by a corporation and who is engaged in a shareholder services function. Person who individually or through a firm provides shareholder services to a corporation, such as the transfer of securities, proxy solicitation, locating lost shareholders, financial printing, etc.

Membership Rates & Terms

Membership Annual Rate - $495
Term of Membership - October 1 - September 30
Mid-Year Discounted Rate - $375
Term of Membership - On / After April 1 - September 30

Individual Member Data

* First Name:

Middle Initial:

* Last Name:

Title:

* Company:

URL

* Address:

Address 2:

* City:

* State:

* Zip:

* Business Phone:

Business Fax:

Cell Phone:

* E-mail:

* Member Type:

I hereby apply for membership in the Shareholder Services Association and certify that I meet the eligibility criteria for membership.

Questions?

Email: Jane Keister, Membership Chair