Society of Professional Consultants: Membership Form

SPC Membership Renewal Form

We are delighted that you would like to renew your membership with SPC. The form below will enable you to update the information we have on file and as well as on the web site. You can pay the $150 membership fee online via PayPal or by sending a check.

To renew, please complete the form below. After you complete this form you will be directed to our on-line payment site, PayPal, or prompted to mail a check.

Note:
Your membership renewal does not take effect until a check is received in the amount of $150.00 payable to SPC or we receive notice of a credit card transaction. You can mail your check to:

The Society of Professional Consultants
Box 67192
Chestnut Hill, MA 02467

If you have any questions please call (978) 692-6950

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Please fill in the following information:
Note: Fields marked with a * are required.

* To make payment,I will mail a check I will use a credit card

* First Name:
Middle Name:
* Last Name:
Company Name:
Title:
* Email:

If you do not want to make any changes to your profile you may submit your renewal here. Otherwise scroll down to make changes.

Please use this section ONLY for changes you may want to make to your demographic information or to your on-line profile.

You can always makes changes by going to the Members Only section and clicking on "Update your member profile."

Street:
City:
State:		ZIP:
Business Telephone:		Ext:
Home Telephone:
FAX:
E-Mail Address:
Web Site URL:

What is your company status?
Self-Employed	Small Business	Corporate Employee	Other

Total Number of Employees in Your Company:
Sole Proprietor	2 to 4	5 to 10	Over 10

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Functions you perform: (Be specific, and check all that apply. These are used to search our referral service database.)
Business Management	Computer Technical Support	Computer Networking
Consumer Products & Services	Disaster Recovery	Engineering
Executive Coaching	Financial Management	Graphic Design & Illustration
Human Resources	Information Technology	Internet Applications
International Commerce	Market Research	Marketing Communications
Marketing Strategy	Meeting Planning	Organizational Development
Product Development	Project Management	Public Relations
Quality Assurance	Research & Development	Sales
Software Applications	Strategic Planning	Technical Writing & Manuals
Training, Computer	Training, Internet	Training, Personal Development
Training, Sales	Web Site Design
Other:

Do you prefer working with (check all that apply):

Companies up to 50 employees.	Companies over 50 employees.	Fortune 1000 companies.
Any size company	Non-profit organizations	Individuals
Start-ups	Other:

SPC is a volunteer organization. Would you like to assist in any of the following areas:

Workshops and Seminars	Membership	Mentoring
Monthly Meeting Planning	Referral Service	Marketing
Public Relations	Other:

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Our Referral Service uses the following information to help match you with prospective clients. Please be specific, otherwise matching your expertise correctly with inquiries for a consultant will be difficult.

Provide a 50 word, or less, description of your practice and the specific industries you serve. (This will be used on the SPC Web site profile page, if you have checked the box requesting this listing.) Descriptions which are too long will be truncated.
Note: The single word search will find a word in this section. If there is a specific word you would like your name to be listed under, like a job function that does not appear above, include that word here.

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The Society of Professional Consultants, Inc. prohibits discrimination based on race, religion, age, sex, sexual preference, creed, or disability.

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