.:: Join SBAF ::. Shreveport-Bossier Advertising Federation

Application for membership to the Shreveport-Bossier Advertising Federation.
(Please fill in all of the information below - it is very important for our records and web site.)

1 General Information

Last Name, First Name Middle Initial	Business Name/Company Affiliation

Position/Title

Business Address

City

State

Zip

Home Address

City

State

Zip

Business Phone

Home Phone

Fax Number

(select which one)
Cell Phone or Pager

Email Address

(If it is a general address to your company, we will personalize the address with your name before it.)

Web Site Address

Biographical Sketch

2 Web Site Information

(To increase the visibility and communication between both our members and their clients and potenial new clients, the following information is very important for us to properly list you on our web site. Regardless if you have a web site or not - you still get listed.)

1. Which of the following categories best describe the services that you or your company provide. (check all that apply.)

Advertising Agency	Modeling		Service Bureau
Audio Production	Multimedia		Specialty
Broadcast Production	Newspaper/Magazine		Student
Client Side	Outdoor		Television
Graphic Design	Photography		Videography
Honorary	Print		Web Design/Hosting
Lighting	Radio	Other
Marketing	Sales

2. Describe in thirty (30) words or less what you or your company does.

3 SBAF Committee Interest

(Check all that you have interest in.)

ADDY Awards	Image Award	Phone Calling
Board Involvement	Jim Leslie Scholarship	Programs
Education	Legislative	Public Service
Fundraising	Membership	Seminars
Graphic Design	Newsletter	Web Site Maintenance

4 Membership Information

By checking this box I hereby request membership in the Shreveport-Bossier Advertising Federation, Inc. (SBAF). I understand that to be a member I must be gainfully employed in advertising, promotion, public relations or related fields; to have been accepted by the Board of Directors of the Federation as per instructions in the Federation By-Laws; and to remit this application and a check for any membership fees to be paid upfront (see below).

Date (MM/DD/YYYY)	Sponsor/Person that invited you to be member


(Check one option)
I am a new member I am an existing member renewing I am a past member rejoining


5 Payment Information


The annual membership dues are as listed below. Please check the dues option you prefer and click the "Submit" button.

$120 Bronze Membership	$1,750 Silver Membership

$275 Bronze Plus Membership	$5000 Gold Membership

10th District Chapter of the American Advertising Federation