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, 2016-June 30, 2017) are $7960, 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*
First Last
Title*
Organization's name as it will appear on membership list*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Email*
- Please direct CNI Invoice to representative #1's attention
Would you like to add a second representative?
- Yes, I'd like to add a second representative
Representative #2 Name
First Last
Title
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Email
- Please direct CNI Invoice to this representative #2's attention
Invoice information
- I would like a staff member who is NOT a CNI representative to receive the CNI invoice.
Name
First Last
Title
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Fax
Email

Membership Application

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