Company *

Point of Contact/Title *

Address *

City *

State *

Zip Code *

Phone *

Fax

Email *

Company Website

Major Service/Product on Schedule

President

President’s Email

CEO

CEO Email

CFO

CFO Email

General Counsel

General Counsel Email

Government Affairs VP/SVP

Government Affairs VP/SVP Email

Other/Title

Other Name

Other Email

Member Committees and Subcommittees (check all that apply) *

Furniture and Furnishings Committee

General / Office Products Committee

Imaging Equipment Committee (topics include MFD and Copiers)

Small Business Committee

GWAC/MAC Committee

Cybersecurity & Supply Chain Committee

IT/Professional Services Committee (topics include IT hardware and Telecommunications)

Healthcare

Medical/Surgical Products Committee

Pharmaceutical Committee

Membership Tier / Annual Coalition Dues *

Standard Member Small Business (Under $5 million rev.) – $1,750

Standard Member Low ($5 to $15 million rev.) – $3,975

Standard Member High (Over $15 million rev.) – $7,500

Affiliate Member – $6,000 (Law Firm, Association, Consulting Co., or other non-federal contractor)

Premier Member – $10,750

Executive Member – $36,750

Keystone Member – $52,500

Bill to Address *

Bill to State *

Bill to Zip Code *

Authorized Agent *

Submission Date *

Membership Application

Schedule of Annual Dues

Upcoming Events

OASIS+ Phase II: New Domains. Continuous Enrollment. Bigger Possibilities, Jan. 27

Webinar: Implications of the Executive Order on Prioritizing the Warfighter in Defense Contracting, Jan, 28

Commerciality Considerations of DoW’s Memo on “Transforming the Defense Acquisition System into the Warfighting Acquisition System”, Jan. 29