Distributed Computing
Industry Association

To become a DCIA Member, please please contact DCIA's Member Services leader at 888-890-4240 and obtain current information on dues. Then complete and submit the form below. To complete the application process, please mail your first dues payment with the Membership Agreement Form (PDF) to DCIA Member Services, 2838 Cox Next Road, Suite 200, Chester, MD 21619.

Dues amounts are determined by Level of Membership (e.g., Basic, Standard, or Sustainer). Dues are payable by check, money order, or electronic transfer 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. Please note that up to 25 percent of Member dues will be used for lobbying expenses on behalf of the Members. Membership is for one year. Benefits vest upon DCIA's receipt of first dues payment. Dues are reviewed annually by the Executive Committee.

Memberships are annual, commencing with first dues payment. Dues are payable quarterly in advance.

DCIA Membership Application

Company Name:
Contact Name:
Title:
Mailing Address:
City:
State:
Zip:
Email:
Company Web site:
Phone:
Fax:
Types of products/services/market segments:

Company Profile

Parent Company (if any):
Headquarters Address (if different from above):
Headquarters City:
Headquarters State:
Headquarters Zip/Postal code:
Headquarters Country
Public Company (Check if yes):

Additional Contacts

Senior Executive for DCIA Forums (If different from Company Contact)

Name:

Title:

E-Mail:

Phone:

Company Lobbyist for DCIA Issues

Name:

Title:

E-Mail:

Phone:

Check if individual is outside the firm:

Media Relations Contact for DCIA PR

Name:

Title:

E-Mail:

Phone:

Check if individual is outside the firm:

Consumer Research Contact for DCIA Projects

Name:

Title:

E-Mail:

Phone:

Check if individual is outside the firm:

REQUIRED: Type the four-letter abbreviation for the Distributed Computing Industry Association (DCIA). (This is to prevent spam)