Please fill out the following Application Form to join DSA

First and Last Name

Company Name

Position in Company

Street Address

Address (cont.)

City

State

Zip Code

Landline

Cell Phone

Fax Number

Email Address

Website

How did you hear about DSA?

Do you want leads emailed to you?
What email address?
Yes No

New Member
- $115.00 ($90 annually plus one time $25 processing charge) Yes

Renewal Member
- $90.00: Yes

Additional Company Member
- $25.00: Yes

Please enter a short description about your company, products and/or services.

Meetings dates are on the second Tuesday of every month

Meetings are luncheons at 11:30am unless otherwise indicated

DSA Mixers are held twice a year

Meeting fees are $15.00 with an RSVP or $20 without an RSVP to cover expenses

Coming Soon - RSVP and pay online

MEMBERSHIPS

Membership benefits include but are not limited to:

	Networking
	Industry Related Speaker Luncheons
	Bi-Annual Mixers
	DSA Website Listing and Link
	DSA Leads Emailed
	DSA Brochure Listing (if membership committed prior to printing)
	DSA Tradeshow Participation
	DSA FAM Trip Opportunities

All memberships run from January 1st to December 31st.

Note: We do not accept credit cards on site for the luncheons or mixers. Cash or check only. Currently, print out this form, enclose 3 business cards and a check made payable to DSA, and mail it to:

DSA
1350 East Flamingo Suite, #170
Las Vegas, NV 89119

Coming Soon - apply online