ASIDIC Membership Application

Membership in ASIDIC is available in three categories, as follows:

FULL MEMBERSHIP (Large Company) -- Dues: $495/year
For organizations with ten or more employees engaged in the electronic dissemination of information or in support activities for the electronic information industry or its user community. Members shall be interested in improving information technology and promoting the use of electronic databases.
FULL MEMBERSHIP (Small Company) -- Dues: $250/year
For organizations with fewer than ten employees plus Associate Members who desire Full Membership.
ASSOCIATE MEMBERSHIP -- Dues: $125/year
For individuals not employed by an organization with more than two employees. Associate Members are not eligible to vote in ASIDIC elections

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*Please indicate the type of membership for which you are applying

Full Membership (Large company) Full Membership (Small company) Associate Membership Please select an option

*Organization:
*Address:
*City:
State (U.S.):
State/Province (if not U.S.):
*Country:
Zip/Postal Code:
*Please describe your organization's qualifications for membership:
*Representative Name:
Representative Title:
*Representative Phone:
Representative Fax:
*Representative Email:
Alternate Representative Name, Title, Phone, Email: