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AITA Membership Application

Please complete the short form below to become an AITA member. When you complete this form, you will be taken to our secure payment processing server or given alternate methods of submitting your annual dues.

Fields in bold are required - enter none if not applicable

Organization Name

Member Names
(up to 5)

Main Contact
Member 2
Member 3
Member 4
Member 5

Respective Email Addresses
(up to 5)

Main Contact Email Address
Member 2 email
Member 3 email
Member 4 email
Member 5 email

AITA May Email the Above Listed with Association Information

Agree
Disagree

Main Contact Title

Address

Address

City

State

Zip/Postal Code

Phone Number

() ext.

Fax Number

Web Site Address

Select Desired Membership
Type and the Number of
Employees as Required

	Industry Member (voting member) Companies that develop software, databases, networking infrastructure, Internet technologies, or other IT services to the IT industry in Alabama. Companies must have regional offices in the state. REQUIRED FOR INDUSTRY MEMBERSHIP. Please specify number of Alabama-based employees: 1-9 employees - $250.00 10-49 employees - $450.00 50-99 employees - $600.00 100+ employees - $900.00 (Based on employees in Alabama)
	Affiliate Member (non-voting) — Any company interested in the advancement of the IT industry in Alabama. REQUIRED FOR AFFILIATE MEMBERSHIP. Please specify the appropriate type of membership: Non Profit Institutions — $250.00 IT Departments of non-IT companies — $400.00
	NOTE: Annual membership fees are due in January each year. If you join mid-year we will pro-rate the renewal amount. AITA is a non profit 501 c (6) trade association.

Can you help the AITA?

AITA is the only association representing the IT industry in Alabama. We are seeking additional voluntary support to help get AITA established as the VOICE for the industry. Would you be willing to donate your time or money to the growth of the IT industry? If so, check the items that interests you.
Please consider a voluntary 10 to 25 percent donation.

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