National Membership Application


Use this form to apply for membership.

7x24 Exchange Corporate Membership
To apply for corporate membership, complete the following information. All employees of the business unit listed/ approved by the designee will receive 7x24 Exchange mailings and be eligible for member discounts.

We hereby apply for membership in the 7x24 Exchange under the category of (mark one)

End User - An individual or company that builds, designs, operates or maintains mission critical technology and enterprise information infrastructures for internal use. **Companies that can be considered as an End User or a Vendor will be classified a Vendor organization. **Companies that can be considered as an End User or a Consultant will be classified a Consultant organization.
Vendor - An individual or company that sells or distributes products and/or services.
Consultant - An individual or company that provides professional advice or consulting services for a fee.
Media - An individual or company that disseminates news to the mission critical industry.
Government Agency - Includes agencies of international, local or regional levels of government responsible for the planning and/or economic development of public areas for the mission critical market.
Industry Partner - Peer organizations in the mission critical industry.
Nonprofit Organization - Organizations with a 501 (c)3 or 501 (c)6 IRS classification.
  All applications for membership are subject to review by 7x24 Exchange for accuracy and completeness prior to being accepted. We may contact you for further information. We reserve the right to modify the member type selected and to collect any additional fees essential to the assigned member type.
By checking this box I agree to the membership declaration above and agree to submit the required fees if the membership category selected is incorrect or reassigned by 7x24 Exchange.

Brief description of company business:


BOLD headings indicate required data

COMPANY/BUSINESS UNIT/DEPARTMENT

ADDRESS LINE 1

ADDRESS LINE 2

CITY

STATE / PROVINCE     ZIP / POSTAL CODE     COUNTRY
   

Please hotlink my company's web address from the 7x24 Members Listing page for an additional fee of $275.
Company URL

NOTES:
National dues payable each year are $400 for End User companies, and $1000 for Consulting and Vendor Organizations.

DESIGNATED REPRESENTATIVE*
Each organization has a designee who responsible for dues payment and to whom official 7x24 Exchange correspondence will be sent.  Only the designated representative votes in official ballots.

FIRST NAME

MI

LAST NAME

     
NICK NAME / BADGENAME

TITLE

DEPARTMENT

PHONE     FAX
 

E-MAIL

Comments

I understand the educational purposes of 7x24 Exchange and agree that my company will abide by 7x24 Exchange's By-Laws and rules.

Payment Method (If new application for membership)
(check one)
American Express   Discover MasterCard   Visa  
Total $
Card Number (no spaces)  
Exp. Date (MM/YY)

Thank you.

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