NoCOUG Corporate Membership Application
Corporate Information (* Required fields)      
  Company Name*   URL        
   
   
               
Main Contact ( will be used by NoCOUG board )
First Name*   Last Name*
Contact Phone*  
 
Address City
State
Zip
  
Mailstop
 
    Confirm Email Address*   Job Title   Job Role
       
     
  How many additional members would you like to register (1 - 9) ?
  Do you want mail address for additional members to be the same as Main Contact? Yes No
     
Mailing Lists  
  Would you like to receive notifications of upcoming NoCOUG conferences? Yes No
  Would you like to receive other announcements from NoCOUG? Yes No
  Would you like to receive correspondence from third parties who request to send material to NoCOUG members? Yes No
     
Presentations
    Might you be interested in giving a presentation at a future NoCOUG conference? Yes No

Payments will be processed by PayPal.
Have your credit card ready, you will be asked to provide it after you confirm your registration.
Membership Dues
  Membership Type Includes Rate  
  NoCOUG Corporate Membership Ten individual memberships with six attendees at any one meeting $550.00  
         
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