ARKANSAS SOCIETY OF PROFESSIONAL LOBBYISTS
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. 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: ________________________________________________________________________

WEB SITE: _________________________________________________________________________

EMPLOYER/CLIENT(S): ____________________________________________________________

____________________________________________________________________________________


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.


I would prefer the Society meeting notices to be sent to me by:

____ US Mail ____ Email

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.