Join the IJIS Institute

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Questions about membership? Contact , Senior Manager of Industry Relations, at 703.981.4308.

Company Information
Company Name *
Website *
Street Address *
City *
State/Province *
Zip Code/Postal Code *
Telephone Number
Fax Number
   

Primary Contact Information
First Name *
Last Name *
Title *
Email Address *
Office Phone *
Cell Phone
   

Membership Information
Membership Type *
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 Sustaining Member 
 Member 
 Affiliate 
Reason for Joining *
Solution Category *
Check all that apply

 Criminal Justice 
 Public Safety 
 Homeland Security 
 Health 
 Corrections 
 Intelligence 
 Emergency Management/Response 
 Court 
 Other 
Line(s) of Business *
Check all that apply

 Consulting 
 Systems Integration 
 Software 
 Hardware 
How did you learn about the IJIS Institute? *
 Advertisement 
 IJIS Institute Email 
 IJIS Institute Website 
 IJIS Institute Newsletter 
 IJIS Institute Facebook 
 IJIS Institute Twitter 
 Search Engine 
 Client 
 Government employee 
 IJIS Institute phone call 
 IJIS Institute Member 
If referred by a member, please complete the following:
Referring Member company
Referring Member contact
Contact's Email Address
Contact's Phone Number
Gross Annual Revenue *
 $0 - $399,999 
         (Member annual dues: $500)
 $400,000 - $999,999 
         (Member annual dues: $1,250)
 $1,000,000 - $4,999,999 
         (Member annual dues: $2,000)
 $5,000,000 - $19,999,999 
         (Member annual dues: $2,750)
 $20,000,000 - $99,999,999 
         (Member annual dues: $3,500)
 $100,000,000 or more 
         (Member annual dues: $5,000)
   

Members
Please upload your company logo graphic (JPG or EPS format)
Member companies enjoy the benefit of having their company logo displayed on the IJIS Institute Web site. Logos will be resized to fit an area of 125 square pixels.
   

Affiliates
Suggested annual donation
 $1,000 
 $500 
 $250 
 Other amount 
Providing a tax-deductible annual donation helps the IJIS Institute defray the costs of Affiliate involvement, and provides the opportunity for the new Affiliate company to be posted to the “Donors” page on the IJIS Institute Web site.
   

Billing Contact Information
Billing Contact Name *
Billing Contact Email Address *
Billing Contact Telephone *
Billing Contact Fax
Billing Street Address *
Billing City *
Billing State/Province *
Billing Zip/Postal Code *
   

Additional Contact Information
CEO Name
CEO Email Address
CFO Name
CFO Email Address
CIO/CTO Name
CIO/CTO Email Address
Mktg Contact Name
Mktg Contact Email Address
Please add other emails, separated by a comma, for those in your company who should receive IJIS Institute news, events and industry opportunities
   
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