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Working Groups Join the Consortium Membership Application

Membership Application
Please fill out the form below to be considered for membership. If you encounter problems with the web form below, you can alternatively download this Excel spreadsheet (HTC_application.xls) and fax it to the number provided in the file. Thank you.
Section 1 - Company Information (Required fields are in red)
Company Name
Address (line 1)
Address (line 2)
City
State/Province
ZIP Code/Postal Zone
Country
Main Phone Number
Main Company URL
Membership Interest/Status
(what's this?)
Business and Product Description

Section 2 - Contact Information
Primary Contact Name
Title
Primary Contact Phone
Primary Contact Email
Technical Contact Name
(for Technical Working Group)
Technical Contact Phone
Techincal Contact Email
Marketing Contact Name
(for Marketing Working Group)
Marketing Contact Phone
Marketing Contact Email
PR Contact Name
(for Marketing Working Group)
PR Contact Phone
PR Contact Email


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