CNI Membership Application

Becoming a Member
The Coalition for Networked information (CNI) is an institutional membership organization. Membership dues are the primary financial resource for CNI’s programs. Dues for the year (July 1, 2012-June 30, 2013) are $7,100, and membership is renewable on a year-by-year basis; renewals will be invoiced automatically.

CNI Membership Form

Please provide information for up to two organizational representatives to CNI.

Representative #1 Name*
FirstLast
Title*
Organization's name as it will appear on membership list*
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone
Fax
Email*
- Please direct CNI Invoice to this representative's attention
Would you like to add a second representative?
- Yes, I'd like to add a second representative
Representative #2 Name
FirstLast
Title
Organization's name as it will appear on membership list.
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone
Fax
Email
- Please direct CNI Invoice to this representative's attention
Invoice information
- I would like a staff member who is NOT a CNI representative to receive the CNI invoice.
Name
FirstLast
Title
Institution/Company as it will appear on membership list.
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone
Fax
Email

Membership Application

CNI Membership Form

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