ASPL

Membership Application

The Arkansas Society of Professional Lobbyists is a professional society for individuals who, as part of their career, lobby in the state of Arkansas and/or are registered with the Secretary of State, or represent state government in lobbying efforts. Membership is subject to acceptance by the Board of Directors and receipt of $100.00 per year in membership dues.

Name:		________________________________________________________

Company:		________________________________________________________

Address:		________________________________________________________

City/State:		________________________________________________________

Zip:		________________________________________________________

Phone:		________________________________________________________

Fax:		________________________________________________________

Email:		________________________________________________________

Website:		________________________________________________________

Employer/Clients:		________________________________________________________

I would prefer the Society meeting notices to be sent to me by: ____ US Mail ____ Email

I would like to list my email address on the AOS web page: _____ Yes _____ No
(www.arklobbyists.org)

I would like to list my web site on the AOS web page: _____ Yes _____ No

Please make dues checks payable to: Arkansas Society of Professional Lobbyists
PO Box 24426
Little Rock, AR 72221

NOTE: Dues payment to ASPL is not deductible as charitable contributions for federal tax purposes. However, dues payment may be deducted as a business expense.