TSPS Membership Application

Please provide the following contact information:

First name *
Middle name
Last Name * Ext.
Preferred*
Mailing Address *
City *
County*
If your county is not listed please select Out of State.
State *
Zip * Zip Ex.
Company
Work Phone*
Please do not use a separator in phone numbers, enter digits only!
Email
Is your company in: Private practice  
or
Public Sector      
Your Position Company Owner  Senior Management Other
Home Address
City
State
Zip Zip Ex.
Home Phone**
Please do not use a separator in phone numbers, enter digits only!
Date of Birth** (mm/dd/yyyy)
** One or both of these must be provided.
Spouse Name
   You may fax me at these numbers:
I authorize TSPS to send facsimiles regarding matters of educational and political interest, convention promotions, advertisements, and other commercial materials related to the Society and the business and practice of Surveying.
Please do not use a separator in fax numbers, enter digits only!
            Area Code   Fax Number
Fax 1            
Fax 2            
Please check any of the following memberships/certifications that apply to you.
ACSM     TSPE                     Co. Surveyor 
ACEC      TAR
TLTA        Real Estate TAR  
 
Please select the desired category of membership.
See Membership Qualifications for specifications regarding each category. . . .

 *
    
 RPLS#      PE # 

Chapter Member
Just for joining we will waive your first year chapter dues and pass your information to your local chapter president.   
*References
Please list the name and address of one or more persons acquainted with your qualifications, preferably a Society member or Registered Professional Land Surveyor.

Please make sure all of the entered information is correct.

Texas Society of Professional Surveyors.
Copyright © 2000 [TSPS]. All rights reserved.

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