DSI Online Membership Application

Thank you for your interest in the Device Solutions Initiative. Please complete our online membership application by filling out the fields below and clicking submit. An ATIS staff member will contact you directly regarding your application. Fields marked with an " * " are required fields.

If you have any questions or need assistance, please contact Rich Moran at rmoran@atis.org.

   
Company Name: *
Primary Website Domain: *
   

Primary DSI Representative

Name: *
Title: *
Address: *
City: *
State/Province: *
Postal Code: *
Country: *
Phone: *
Email: *
   
Consolidated ATIS Member (no fee)
Non-Consolidated ATIS Member ($10,000)
Non-ATIS Member ($15,000)
   
 

Billing Contact (Non-ATIS Members)

Same as Primary DSI Representative
-OR Enter-  
Name:
Title:
Address:
City:
State/Province:
Postal Code:
Country:
Phone:
Email:
 
By submitting this application, applicant agrees that, upon approval of participation in DSI, it will abide by the DSI Operating Procedures and support DSI through participation and the timely payment of dues and participation fees.
 

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