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Membership form
This helps us to provide you with relevant membership information including your joining fee.
1.
Tell us about yourself
Name:
Job title:
Contact phone number:
Email address:
Office address = Street:
Office address = City:
Office address = County/State:
Office address = Country:
Office address = Zip/Postal Code:
Preferred way to reach you?
2.
Tell us about your Company
Company name:
Registered address = Street:
Registered address = City:
Registered address = County/State:
Registered address = Country:
Registered address = Zip/Postal Code:
Company registration number:
Who is your company registered with?
List of company registries
Your business sector:
Website:
3.
Help us understand where you host
We don't host
We host in the UK only
We host in the USA only
We host in the following countries:
Countries where we host:
4.
Company size - to help us confirm your joining fee
Annual revenues
Number of employees
Number of subscribers - residential ISPs only
Number of subscribers - mobile operators, MVNO only
Number of customers - hosters only
Number of domains - domain registries only
Number of unique monthly visitors/users globally - Search, Portal or Social Media only
5.
Who will sign your IWF Membership Agreement?
Name:
Job title:
Phone number:
Email address:
6.
What start date would you like (1st day of which month)?
Preferred start date:
7.
Where did you hear about us?
IWF Member referral (please tell us who in the "other" box below)
Friendly wi-fi referral
Other referral
IWF annual report
IWF website
IWF marketing campaign
Trade show/ event
Social network
Search engine
Forum/ blog
Article online
Article offline
You contacted us!
Other (please specify)
8.
Almost there - a few more questions
What is your reason for joining our membership community?
Which of our
technical services
are you interested in?
Do you use hash technology already? e.g. pDNA, MD5
Do you have a Microsoft pDNA Licence in place already?
9.
Anything else you'd like to tell us?
*
10.
I understand that the information I’ve provided on this form will be processed for the purpose of potentially entering into a contract with the IWF.
(Required.)
I agree
IWF Privacy Notice
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