|
CONTACT US
  HOME
  ABOUT
  NEWS & EVENTS
  RESOURCES
  JOIN
    Join Mobile DTV
    Membership Benefits
    Membership Form
  CONTACT
  MEMBERS AREA



   
   
   
Membership Form

To Join:

  1. Download and review the Contributor or Associate membership Agreement and Exhibits.
  2. Complete the Registration Form below in full. Click to submit the Registration Form.
  3. Print and sign the completed Registration Form, and the Contributor or Associate Agreement Signature pages.
  4. Fax the completed Registration Form and Contributor or Membership Agreement Signature pages to Mobile DTV Membership Services at +1.925.905.1896.
  5. Mail the signed Membership Agreement originals and all attachments to:
      Mobile DTV Alliance
      ATTN: Membership Services
      2400 Camino Ramon, Suite 375
      San Ramon, California 94583 USA
      Phone: +1. 925.275.6635
      Fax: +1.925.905.1896
      Email: help@mdtvalliance.org
  6. Pay the invoice that will be generated and sent to the Primary Contact via check or wire transfer.

Note: Both the Membership Agreement Signature Pages will be counter-signed by the Mobile DTV Alliance Executive Director. One copy will be kept on file at Mobile DTV Alliance and one copy will be sent to the primary contact.

Intent to Join:
I Agree: You must agree to continue
Membership Level:
Payment Options:
PO Number: Leave blank if not paying by Purchase Order
Company Name:
Company Website:
What is your company's focus?:
Company Main Phone:
Company Main Fax:
Address:
Address 2:
City:
State/Province:
Postal Code:
Country:
Primary Contact
First Name:
Last Name:
Job Title:
Business Phone:
Business Fax:
Mobile Phone:
Primary Email: This email address will be used for email list
subscriptions and all other automated communications.
Address One:
Address Two:
City:
State/Province:
Postal Code:
Country:
Alternate Contact
First Name:
Last Name:
Job Title:
Business Phone:
Fax:
Email:
Address:
Address 2:
City:
State/Province:
Postal Code:
Country:
Technical Contact
First Name:
Last Name:
Job Title:
Business Phone:
Fax:
Email:
Address:
Address 2:
City:
State/Province:
Postal Code:
Country:
PR Contact
(If different from primary contact)
First Name:
Last Name:
Job Title:
Business Phone:
Fax:
Email:
Address:
Address 2:
City:
State/Province:
Postal Code:
Country:
Marketing Contact
First Name:
Last Name:
Job Title:
Business Phone:
Fax:
Email:
Address:
Address 2:
City:
State/Province:
Postal Code:
Country: