ASGA Membership Registration Form
By filling out this form, your institution will become the latest ASGA member.
ASGA is a membership organization. 1. When you join, your institution will pay annual membership dues.Membership Cancellation Survey .
Please complete and submit the online form below OR download and fill out the PDF version 1) print out and FAX it to 352-373-8120 or 2) email the completed PDF form to billing@asgaonline.com latest version of Adobe Reader
VERY IMPORTANT: If every field marked "REQUIRED" is not filled out upon form submission, all previously-entered data will be lost, and the form will need to be filled out again.
Your Organization Information
College/University/Dept., Organization, or Company (REQUIRED) :
Department (REQUIRED) :
Address (REQUIRED) :
City, State, Zip (REQUIRED) :
E-mail (REQUIRED) :
Phone (REQUIRED) :
Fax (REQUIRED) :
Where did you hear about ASGA?
PLEASE SELECT Word of mouth We received a mailing We received an e-mail We received a FAX An advisor An administrator
Your Billing Information (person responsible for bills and payments)
If any information in this section is the same as above, please fill in "Same." Use "N/A" if a field is not applicable.
Billing Name: (REQUIRED)
Title: (REQUIRED)
Address:
City, State, Zip:
E-mail:
Phone:
Fax:
Your Advisor Information (Advisor to Student Government or Account Contact)
If any information in this section is the same as above, please fill in "Same." Use "N/A" if a field is not applicable.
Advisor Name (REQUIRED) :
Title:
Department:
Address:
City, State, Zip:
E-mail (REQUIRED) :
Phone:
Fax:
Submitter Information
Same as:
Submitter Name:
Title:
E-mail:
Phone:
Membership Information
Membership Type ( Learn More ) (REQUIRED) :
Your College/University Information
Your College/University Name, Campus & Acronym (REQUIRED) : (Example: Florida State University, FSU)
Your SG Name & Acronym (REQUIRED) : (Example: Student Government Association, SGA)
Your Type and Affiliation: PLEASE SELECT Community or Junior College Private College or University - Religious Private College or University - Secular Public College or University Technical, Trade, or City College
Your College/University's Size and Mobility: PLEASE SELECT Large (more than 20K) - Commuter Large (more than 20K) - Residential Large (more than 20K) - Suitcase Medium (5K-20K) - Commuter Medium (5K-20K) - Residential Medium (5K-20K) - Suitcase Small (0-5K) - Commuter Small (0-5K) - Residential Small (0-5K) - Suitcase
Residential campus —While there is no set percentage that makes up a “residential campus,” a critical mass (usually at least 20 percent) of students live in on-campus college owned or controlled housing including residence halls, apartments, family and graduate housing, and Greek housing. They may also live very nearby campus in institution-owned or operated housing.
Commuter campus — most or all students do not live in on-campus housing, but instead live in “off-campus” housing of all types including high-density apartments, condominiums, duplexes, houses, and trailers. Commuter students commonly arrive on campus in personal vehicles parking in commuter lots or by bike, mass transit, or foot. A true commuter campus does not have any on-campus housing.
Suitcase campus — Most or all students living on-campus or off-campus go “home” on the weekends to work or to be with their families and friends. Additionally, the institution may not offer many on-campus activities or services.
Sources: Norbert Dunkel, director of housing and residential education, University of Florida; Jill Eckardt, director of housing and college center, Mesa State College, CO; Jack Collins.
Your College/University's Actual Enrollment (undergraduate full-time enrollment - FTE) (REQUIRED) :
Your Annual Membership Dues Based on Your FTE (Learn More PLEASE SELECT FTE TO COMPUTE DUES FTE of Up to 4,000 - $297 per year (2 years, $267 per) FTE of 4,001 to 10,000 - $497 per year (2 years, $447 per) FTE of 10,0001 to 20,000 - $797 per year (2 years, $717 per) FTE of 20,001 & above - $997 per year (2 years, $897 per) OPTION>
Membership Length: (ASGA memberships renew automatically. Cancellation can be made via phone by calling ASGA at 877-275-2742, ext 113 and completing the Membership Cancellation Survey )
Are you renewing?
Payment Information
Check enclosed (Please make payable to The American Student Government Association)
Bill Me (ASGA’s Federal ID # is 80-0359515). Your purchase order number:
Charge my credit card. (To protect your privacy, we will call for your credit card details.)
Did you receive a special membership offer? Do you have a "credit" from a previous conference? If so, please provide the offer details or credit information here.
Terms and Conditions
I have read the Legal Terms (REQUIRED) .
I agree that to ensure uninterrupted service, this membership will automatically renew on the annual start date. Cancellation can be made via phone by calling ASGA at 877-275-2742, ext 113 and completing the Membership Cancellation Survey (REQUIRED) .
I am authorized to commit my institution, organization, and/or Student Government to joining the American Student Government Association. By submitting this form, I am confirming that we have approval for the payment of the annual membership dues, as listed above (REQUIRED) .I understand that by completing this form, I am now officially joining ASGA and I and/or my organization will pay the dues.
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