Digital Convergence Initiative

To join DCI, select one of the following categories and complete the form. Because we are not yet accepting credit card payments online, we will follow up with payment options shortly. Fields with * are required.
	Student	$75/yr
	Individual/Bootstrapper	$150/yr
	Corporate	$400/yr
	Interested Non-Member	(Email List Only)
	Membership category help.
First Name:	*	Title:
Last Name:	*
Address 1:	*
Address 2:
City:	*
State:		Zip:	*
Phone:	*	Ext:
Email:	*
Certifications:
If Corporate membership please complete as much of the following as needed. Otherwise you can submit now.
Organization Name:	*
Organization Type:		Other:
Website:
	Individual contact if different from above.
Contact Name:
Title:
Phone:		Ext:
If your organization is a business you can help by filling out this additional information. Or you can just submit the form now.
Business Class:		Size:
NAICS Primary:		Other:
NAICS Secondary:		Other:
Service/Product Category 1:
Other:
Service/Product Category 2:
Other:
Business Description:
Additional Business Description:
Additional Business Description: