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Are you interested in joining as a:  Full Member (owner/operator) Associate Member (vendor/sponsor)

Member Name: *

Company Name: *

Mailing Address: *

City/State/Zip: * / /

Telephone: * Fax Number:

Email Address: *

Facility Address(es): (if different from above)

Facility Name:

Facility Address:

City/State/Zip: / /

Telephone: Fax Number:

Number Of Units: Net Rentable Sq. Ft.:

Facility Name:

Facility Address:

City/State/Zip: / /

Telephone: Fax Number:

Number Of Units: Net Rentable Sq. Ft.:

Are you currently a Direct Member of the National Self Storage Association (SSA)?  Yes No

If joining as an Associate Member, please list what business services you offer:

Membership Dues: $175.00 First Facility and $50 for each additional facility; $175 Associate Membership

First Facility or Associate Membership: $ 175.00

Number of additional facilities: @ $50.00 - $

Total Enclosed:*

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