activities levels join us current members

Membership Application Step 1 of 3: Complete the Membership Application

Membership Levels

Participation opportunities depend on your membership level. Choose the level appropriate for your business goals:

Participant or Participant Plus
Take part in Consortium activities at the operational level.

Sponsor
Participate at both the operational and executive/strategic levels.

Benefactor
Participate at all levels - intended for large companies with multiple service organizations.

Registration and Payment

To pay by check, purchase order, or by fax with a credit card download the application and follow the written instructions for registration and payment.

To pay online by credit card:

Fill out the membership information on this page.
Choose your payment option.
Complete the credit card transaction. Your credit card information will be processed using VeriSign secure server technology.

Select Registration Type:

New Member
Renewal

Membership Dues

Your dues give you access to a wealth of information developed by members and staff, access to future white papers, discounts on member services and, based upon your level of membership, access to Consortium program meetings over the coming 12 months. Membership dues are non-transferable, non-refundable and The Consortium can make no guarantee about future deliverables or activities.

Choose your participation level:

Level	Number of Seats	Fees
Participant	4	$9,000
Participant Plus	6	$15,000
Sponsor	8	$21,000
Benefactor	Unlimited	$41,000

Company Information:

Company Name
Company URL

Billing Information:

This person will be the main billing contact for renewals and upgrades.

* Required.

Name:
Title:
*Email:
*Address:
*City:
*State:
*Zip:
Country:
*Phone:
*Fax:

Participant Contact Information:

Complete this section if the participant's contact information is different from the billing information above.

Check if information is the same as above.

Name:
Title:
Email:
Address:
City:
State:
Zip:
Phone:
Fax:

Program Team Seats:

If you are signing up as a Sponsor or Participant Plus 1 extra program team seat, please provide us with the contact information of your second member. If you would like to sign up as a Benefactor, please provide us with the contact information of all participants by emailing info@serviceinnovation.org.

2nd Member Name:
Title:
Email:
Address:
City:
State:
Zip:
Phone:
Fax:

Comments/Questions?

By proceding to Step 2, I indicate that I have read and understood the Rules of Conduct and understand that all members must abide by those rules. I understand that my membership is for 12 months from the date I join.

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KCS^sm and Adaptive Organization^sm are service marks of the Consortium for Service Innovation™