SFSTA | Fellowship!(TM) by ResourceForge.com

SFSTA Fellowship!^TM

References must be SFSTA Members you have known for past year.

By law we are required to state that dues to SFSTA may not be considered charitable contributions. They are deductible as ordinary and necessary business deductions with the exception of $5.00.

QUESTIONS? Call Michelle Hannigan at the SFSTA office at (925) 687-6677 or email at sfsta1@sbcglobal.net.

Applications are reviewed at monthly Board Meetings. You will be notified of your acceptance or denial.

Payment must be made before your membership is complete. Yearly dues for Active Members are $150. A one time initiation fee of $65 is also due for new members; this fee is waived for STA transfers. After submitting your application, online payment will be availiable through the Membership Area of the website or you may call (925) 687-6677 to pay by American Express, Visa or Master Card. Alternately, you may send a check to PO Box 2156, San Francisco, CA 94126.

Membership Application

Title:

(Mr., Mrs., Ms., Dr., etc.)

First Name:*

Middle Name:

Last Name:*

Birthday:

(YYYY-MM-DD Format)

Business Name:

Position:

Years at Present Position:

If one year or less, where was your last position?

Have you been regularly engaged for 1 year in the purchase and sale of equity or fixed
income securities from an order room to other dealers and brokers for your firm?
Yes No You will be registered as an Active Member

Are you a transfer from another STA affiliate? Yes No

If yes, which one?

Website Password:*

(Six or more alpha-numeric characters)

Primary E-mail Address:*

(The primary e-mail address will be the website username)

Alternate E-mail Address:

Business Phone:*

(Area code and phone number)

Alternate Phone:

(Area code and phone number)

Mobile Phone:

(Area code and phone number)

Fax:

(Area code and phone number)

Business Street Address:*

Street Line 1:
Street Line 2:
City:
State/Provence:	(2-letter US state / foriegn provence)
Zip Code:
Country:

Alternate Street Address:

Street Line 1:
Street Line 2:
City:
State/Provence:	(2-letter US state / foriegn provence)
Zip Code:
Country:

Primary Website:

http://

Alternate Website:

http://

Name of 1^st SFSTA Reference:*

Name of 2^nd SFSTA Reference:*

* Required