CSA REPRESENTATIVE:
Membership Type: New Member Renewal Other
Company Name:			*
Company Primary Representative's Name:			*
Title:			*
Email:			*
Alternate Representative's Name:
Title:
Email:
Mailing Address:
Mailing Address 2:			*
City:			*
State:			*
Zip:			*
Phone:			*
Fax:			*
Web Site URL:			*
Nature of Companies Business:			*
Other Information:
COMPANY PROFILE:
8(a)
HubZone
Woman Owned
Vetran Owned
Other:			*
Number of Field Offices:			*
Number of Employees :			*
CSA Sponsoring Member (if any):			*
CLASSIFICATION NAIC CODES:
541519	Other Computer Related Services
541512	Computer Systems Design Services
561210	Facilities Support Services
541990	All other Professional, Scientific and Technical Services
541710	Research & Development in the Physical Eng. Services
541690	Other Scientific and Technical Consulting
561612	Security Guards
561720	Janitorial Services
561990	All other Support Services
541620	Environmental Consulting
541211	Offices of Certified Public Accountants
493110	General Warehouse & Storage
561730	Landscaping Services
561611	Investigation Services
561790	Other Services to Buildings & Dwellings
Other
Other
Other
Membership Category:
Please note gross annual receipts from the following during your fiscal year:
Federal , State and Local Government:			*
Our fiscal year ends (month):			*
Group 1 ($0 - $30 million annual revenues) Group 2 ($30 million+ annual revenues) Associate Member (no government contracts)
"Federal tax law allows trade association dues dollars to be deductible to the extent that the dues are not used for lobbying. During 2006, CSA expects to spend 15% of membership dues dollars on legislative (lobbying) activities. Therefore, 85% of your CSA membership dues dollars are deductible."

* Denotes a MANDATORY field

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