ATIS Membership Application (One Page)

Company Name *

Primary Company Website

Corporate Representative

Name *

First

Last

Title

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone *

Email *

Use corporate representative as billing contact? *

Yes
No

Billing Contact

Name (Billing) *

First

Last

Title (Billing)

Address (Billing)

Address Line 1

Address Line 2

City

State

Zip Code

Country (Billing)

Phone (Billing) *

Email (Billing) *

Marketing Contact

Name - Marketing Contact

First

Last

Title - Marketing Contact

Phone - Marketing Contact

Email - Marketing Contact

Media Contact

Name - Media Contact

First

Last

Title - Media Contact

Phone - Media Contact

Email - Media Contact

Membership in ATIS will grant you the option to participate in, and access to the work of, all of ATIS’ standards development Committees and Forums. Below, please let us know below the areas that interest you most.

Primary Areas of Interest

Other (Please specify)

Additional Areas of Interest

3GPP (additional dues required)
Next G Alliance (additional dues required)
oneM2M
The Protection Engineers Group (PEG) Conference (additional fee required)
The Workshop on Synchronization and Timing Systems (WSTS) (additional fee required)

What brought you to ATIS?

Other (Please specify)

Revenue for Membership Dues Calculation

ATIS dues are based on corporate financial information with applicable revenue derived from: 1) the provision of communication, entertainment, and information technologies services or the resale of those services; 2) the manufacture of communications, entertainment and information technologies equipment and/or the development of software for such equipment; and 3) the provision of operations support used in providing information, entertainment, and communications technologies services.

ATIS will verify the information supplied below and provide you with a quote for your Membership.

North American Revenue

Non-North American Revenue

ATIS Operating Procedures *

Applicant agrees that, upon approval of participation in ATIS, it will abide by the ATIS Operating Procedures.

Export Administration Regulations (EAR) Entity List Confirmation *

Applicant confirms it: (a) is not included on the U.S. Department of Commerce’s Export Administration Regulations (EAR) Entity List, subject to other U.S. export control laws, Executive Orders, rules or regulations (collectively “U.S. Export Regulations”) that restrict its receipt of or access to information, data, or technology (collectively “Information”) that is of the sort that is disclosed, exchanged, or transferred in the ordinary course of ATIS activities, and at the time of this application is not in violation of any U.S. Export Regulations that restrict its receipt or transfer of Information; and (b) will immediately notify ATIS if the foregoing confirmation becomes in any way inaccurate once it becomes an ATIS member. It is understood that a failure to provide the foregoing confirmation will cause rejection of Applicant’s request for membership in ATIS, and a failure to provide the required notification once a member will result in suspension of Applicant’s membership.