Company:________________________________________________
Address:_________________________________________________
City_______________________ State: ________ Zip: ____________
Country: ______________ Web URL:__________________________
Phone: ________________________ Fax:______________________
Your corporate
membership entitles you to have up to 10 individual members of USIIA from your company, according to the
scale. List your
corporate members here:
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Complete all information and mail this document, along with
a check or money order for dues, to Director of Member Services, US
Internet Industry Association, 1800 Diagonal Road, Suite 600, Alexandria, VA
22314. The form may also be sent via fax (703-647-6009) or
email.
Dues for Corporate Members are calculated on a
sliding scale based on gross
annual sales. Dues are payable by check or money order and must accompany the membership application. This
dues payment is not deductible as a charitable contribution.
However, for most members this fee is deductible as a business
expense. Up to twenty percent of member dues will be used for
lobbying expenses on behalf of the members. Membership is not transferable or refundable.
For further information contact USIIA at (703) 647-7440.