ASIDIC Full Member (Large company) Dues Invoice

Available for organizations with 10 or more employees engaged in the electronic dissemination of information or in support activities for the electronic information industry or its user community. Members shall be interested in improving information technology and promoting the use of electronic databases. Annual dues are $495.

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*Organization:
*Address:
*City:
State:
ZIP or Postal Code:
*Country:
*Representative's Name:
*Representative's Title:
*Representative's Phone:
*Representative's Email:
Representative's Fax:
Website URL:
will be listed on the Membership page of the ASIDIC Web siteAlternate Rep. Name:
Alternate Rep. Title:
Alternate Rep. Phone:
Alternate Rep. Fax:
Alternate Rep. Email:

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