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Please complete all fields that apply to your firm.
[Note that fields with red labels are required] | Contact Person #1 | | | Contact EMAIL #1 | | | Contact Person #2 | | | Contact #2 Email | | To list more contacts, provide the information in
"Additional Information", below. | | Company Name | | | Mailing Address | | | City | | | State | | | ZIP | | To list more than one address, provide the information in
"Additional Information", below. | | Telephone | | | Fax | | | Website Address | | | Company Email Address | |
| Services and Specialties
Check ALL that apply.
(Will be used for searchable listing for web site.) | Telephone Answering Service
Order-Taking Service
(Inbound Telemarketing)
Outbound Telemarketing
Voice Mail
Pagers
Paging Service
Alpha (Text Messaging) Dispatch
Wireless Cellular Phones
Mail Receiving
Mail Forwarding
Internet Dialup Service
Alarm Monitoring
Other:
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| | Memberships & Affiliations | ATSI
Better Business Bureau
Chamber of Commerce
User Group (which one?)
Other (Specify) |
| | In business since (year) | |
| Equipment/Vendors Used
Please list major vendors as a resource to fellow members | | | | | Additional Information | |
| Membership Level
For more information on Membership Levels,click here | Level 1 -- $170
Level 2 -- $290
Level 3 -- $410
Auxiliary Member -- $100 |
| Payment will be
submitted by
Indicate date by which your payment should be received by ASTAA | |
| | Membership Confirmation | By submitting this Application and payment of annual dues, I confirm that I will support the purpose of ASTAA and subscribe to the ByLaws and Code of Ethics of the Association.
I have not yet reviewed the ByLaws and Code of Ethics, but agree to be bound by them. | | Person completing Application | | | |
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