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COMPANY AND CORPORATE MEMBERSHIP APPLICATION Company Membership - $300 Corporate Membership - $1,000
COMPANY AND CORPORATE MEMBERSHIP APPLICATION
Company Membership - $300 Corporate Membership - $1,000
MEMBER INFORMATION
Please provide a brief description of your company.
For Corporate membership, five people receive all member benefits except voting privileges. Please designate one individual as the primary company contact for voting and billing purposes.
Also, please fill out the required sections below for each delegate (i.e. non-voting member) in order to ensure that this application is properly processed.
PRIMARY BUSINESS DESCRIPTION
Please select only ONE category and check all services that apply within your chosen category
Business/Professional Services:
Acctg/Banking/Finance Event Planning/Production Human Resources/Recruitment Insurance Legal Real Estate Sales/Marketing/PR Venture Capital/Investment
Acctg/Banking/Finance
Media
Advertising Broadcast TV/Radio Cable TV Entertainment (Film, Video, Arts) Music Publishing (Print) Stock Libraries/Collections
Non-Commercial
Education Government Non-profit
Computers/Networking
Hardware Mfgr (PCs,Peripherals) Hardware Distributor Hardware Retailer Software Developer Software Distributor Software Retailer Network/Comm. Eqpt Mfgr Network Management Systems Architecture Security VAR/Systems Integrator Consultant
Infrastructure
Internet Service Provider/ISP National/International Telco Regional/Local Telco
Internet/Multimedia Services & Development
Commercial Online Service Interactive/Web Design Web Hosting Service Web Mastering/Network Admin Web Site Maintenance Tools/Technology Developer Online Content Provider (Web) Interactive Media Publisher (CD-ROMs, Software)
Production Services
Film/Video Graphics/Design (Traditional) Localization Media Duplication Pre-press Printing Programming Writing/Editorial
Other Primary Business
Please describe you Primary Business below: Please describe the Services Offered below:
Please describe you Primary Business below:
Please describe the Services Offered below:
PRODUCT/MARKET FOCUS (Check ALL that Apply):
Advertising/Marketing Customer Service Outsourcing Procurement/Purchasing Sales Transactions
Consumer Services
Banking/Financial/Investment Custom Information Entertainment (Music/Film/Video) Health Care Personal Growth/Self-Help Retail/Wholesale Travel/Hospitality
Education
Adult Reference College Textbooks Corporate Training Instructional/CBT K thru 12 Pre-School Professional Certification Testing Services
Educational Entertainment Simulation Sports
Client-Server Connectivity Database E-commerce Groupware Info Architecture/UI Design Intranet/Web Authoring List Serv/E-mail Mgt Media Asset Management Multimedia Authoring Programming Tools Push Technology Site Tracking & Analysis Site Management Security Audio/Video Production
PAYMENT INFORMATION
Please Note:The credit card option has been added for your convenience. This site does not yet support "secure transactions." If you do not wish to submit your credit card information electronically, please submit the form and complete the transaction by giving us the credit card info over the phone at (415) 512-3556.
