CUSCC Membership Application

Name

Email Address

Message

Company/Organization Name

Type of industry and SIC Code

Company Website Address

Company Contact/Title

Mailing Address

Mailing Address 2

E-mail Address

Total number of employees

A 30-word description of your business.

What would you like to see more of from the CUSCC in 2019?

What would you like to offer to the CUSCC or to share with its membership?

Are you interested in being a presenter at one of our events?

How did you hear about the CUSCC?

Are you or your company a former or present member of the CUSCC?

Would you or your company be interested in sponsoring the CUSCC or an event in 2019?

Type of annual membership requested? Corporate - $2,000.00; Diamond - $5,000.00 (all USD)

2 + 6 =