1. Select one of the following boxes that best describes your entity.

Classes	Annual Dues
Class I: (more info) Developer, Manufacturer, or Integrator with Annual Worldwide Sales:
Below $500,000	$3,750
Between $500,000 and $10 Million	$7,500
Above $10 Million	$15,000
Class II: (more info) Government Agency, Consulting Firm, Nonprofit Organization including College, University, Foundation, Trade Association, or Standards Body, plus End User with number of employees as follows:
Fewer than 5	$200
Between 5 and 100	$750
More than 100	$1,500
Class III: (more info) Individual, including Academic, Researcher, Consultant, Government Official, Author, or Editor
for all of Class III	$200.00

2. Please complete and submit the following application form to be considered for membership to the IBIA.

Name*
Title*
Company, Organization, or Agency*
Address*
Suite
City*
State*
Zip Code*
Country*
Telephone*
Fax*
Website*
Email*
This is a formal application for Class I membership in IBIA.
This is a formal application for Class II membership in IBIA.
This is a formal application for Class III membership in IBIA.
This is a request for additional information about IBIA membership.

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If you experience difficulty with the above form, please e-mail your name and title, company or organization or agency name, mailing address, phone, fax, e-mail, and website address to ibia@ibia.org.