Active Membership Application

Membership Type:

Demographic Information

Note: Bold fields are required

First Name:

Middle Name:

Last Name:

Address 1:

Address 2:

City:

State/Province:

Country

Postal Code:

Email Address:

Phone Number (numbers only):

Fax Number (numbers only):

Activities Overview

Describe your travel journalism activities:

Percentage of time devoted to producing travel journalism:

Previous position(s) held within the travel industry:

Position 1:

Position 1 Start Month:

Position 1 Start Year:

Position 1 End Month:

Position 1 End Year:

Describe your travel journalism in these positions:

Why do you want to join SATW?

What can you contribute to SATW?

Sponsor Information

(Note: two SATW sponsors or one SATW sponsor and two references.)

Primary Sponsor

First Name:

Middle Name:

Last Name:

Email Address

Phone Number (numbers only):

Secondary Sponsor/Reference

Type:

First Name:

Middle Name:

Last Name:

Email Address:

Phone Number (numbers only):

Additional Reference

First Name:

Middle Name:

Last Name:

Email Address:

Phone Number (numbers only):

Work Samples

Should you choose to mail your media, please send them to: SATW, Attn: Membership, 1582 S. Parker Rd., Ste. 201, Denver, CO 80134, USA. If you would like your materials returned, please include a self-addressed mailer with postage with your shipment.

Clip Credits

Heading/Title

File:

Date of Publication (mm/dd/yyyy):

Click here to verify publication names and check circulations for the next two fields.

Publication Name:

Circulation (numbers only):

Editor's Name:

Editor's Email Address:

Editor's Phone Number (numbers only):

Points Claimed:

Click here to add another clip

Book Credits

Title

Date of Publication (mm/dd/yyyy):

Word Count (guidebooks) or Print Run (other travel books):

Number of Pages Edited (numbers only):

Version:

Points Claimed:

Click here to add another book

URL Credits

Headline/Title

Web Link:

Date of Publication (mm/dd/yyyy):

Unique Visitors per Month (numbers only):

Editor's Name:

Editor's Email Address:

Editor's Phone Number (numbers only):

Points Claimed:

Click here to add another URL

Points Overview

Total Points Claimed:

Application Submission

Payment Type

Method:

Applicant's Pledge

I have read and understand the SATW Membership Guidelines. If accepted for membership, I agree to abide by the SATW Code of Ethics and Code of Professional Responsibility. I understand that I may be subject to penalities including reprimand or explusion if I do not abide by these codes.

Please type your name in the box below to serve as your digital signature, affirming that you have read and agree to abide by the above pledge.

Note: if this button does not take you to the next page, please check your application for red error messages.