Please complete the following membership application to activate your SIIA SSD/TCOSC membership. Once the application is submitted and processed (usually done within one business day), you will receive a welcome email that provides information on how to get more involved in SSD/TCOSC, including how to manage your company information, contacts and create your individual membership profile.

If you have any questions about joining SSD/TCOSC or this application, please contact Nevena Jovanovic at +1 202-789-4461 or njovanovic@siia.net.

* Denotes Required Information

Company Information
* Company Name
Parent Company
* Address
Address 2
* City
* State/Province
* ZIP/Postal Code
Country
* Telephone
Fax
URL
Number of Employees
* Company Description
(up to 50 words)
  You may update your company description at any time.


Primary Contact
Please designate a contact person who will serve as your company's primary membership representative for SSD/TCOSC. All member correspondence, including membership renewal notices will be sent to this individual.

* First Name Interest Areas:
Connectiv
ETIN
IIN
SIPA
SSD/TCOSC
* Last Name
* Title
* Telephone   Ext.
Fax
* Email

SIIA respects your privacy. Please review SIIA's Privacy Policy and Use Agreement


* Membership Dues
Number of Employees Dues
Less than 50 $1,500
50 - 150 $4,000
151 - 250 $7,500
251 - 500 $10,000
501 - 1,000 $12,500
1,000+ $15,000


Payment Information
For alternate payment options, please contact Nevena Jovanovic at +1 202 789-4461 or njovanovic@siia.net.
 
Promotional Code
If you were provided a promotional discount code, please enter it above.
 
* Credit Card Type
* Credit Card Number
* Expiration Date /
* Name on Card
 
If Billing Address Differs From Company Address:
Company
Address
Address 2
City
State/Province
ZIP/Postal Code
Country


Additional Contacts
Please designate additional contacts from your organization who would like to be involved in SSD/TCOSC activities. All company employees are eligible to participate in SSD and additional contacts can be added at any time.

First Name Interest Areas:
Connectiv
ETIN
IIN
SIPA
SSD/TCOSC
Last Name
Title
Telephone   Ext.
Fax
E-mail
 
First Name Interest Areas:
Connectiv
ETIN
FISD
IIN
SIPA
SSD/TCOSC
Last Name
Title
Telephone   Ext.
Fax
E-mail
 
First Name Interest Areas:
Connectiv
ETIN
IIN
SIPA
SSD/TCOSC
Last Name
Title
Telephone   Ext.
Fax
E-mail


   


For questions about the application process or billing, please contact Nevana Jovanovic, +1.202-789-4461.