New Membership Application Name: (First) (MI) (Last) Address: City/State/Zip: Country: (If other than USA) (Format: XXX-XXX-XXXX) Phone: Fax: Web Site: Email: ***Please make sure your email address is correct. *** Your password will be emailed to the above email address. How many years have you been a golf sales representative? I am a (choose one) Independent Rep Company Rep Associate Please list territory covered (List all states i.e. AZ, NV, NM) below: Lines Carried (List All) 1) 5) 2) 6) 3) 7) 8) 4)Do you receive? Commission Only Salary Only Both Salary and Commission What additional services or benefits would you like to see the association provide? Yes Do you want to sell your apparel samples? No Select a rental car company Alamo Hertz National Other Which car rental company do you use? Select a long distance carrier ATT MCI Sprint Other Which long distance carrier do you use? What major medical insurer do you use? (Format: XXX-XXX-XXXX) Thank you for supporting the NGSA with your Membership and completing the information requested. Membership is for 1 year (12 Months) from the date of receipt of membership. The NGSA Membership fee is $50.00 *** If you are interested in renewing your membership --> RENEWALS HERE