Membership form

This helps us to provide you with relevant membership information including your joining fee.

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* 1. Tell us about yourself

Name:

Job title:

Contact phone number:

Email address:

Office address = Street:

Office address = City:

Office address = County/State:

Office address = Country:

Office address = Zip/Postal Code:

Preferred way to reach you?

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* 2. Tell us about your Company

Company name:

Registered address = Street:

Registered address = City:

Registered address = County/State:

Registered address = Country:

Registered address = Zip/Postal Code:

Company registration number:

Who is your company registered with?
List of company registries

Your business sector:

Website:

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* 3. Help us understand where you host

We don't host

We host in the UK only

We host in the USA only

We host in the following countries:

Countries where we host:

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* 4. Company size - to help us confirm your joining fee

Annual revenues

Number of employees

Number of subscribers - residential ISPs only

Number of subscribers - mobile operators, MVNO only

Number of customers - hosters only

Number of domains - domain registries only

Number of unique monthly visitors/users globally - Search, Portal or Social Media only

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* 5. Who will sign your IWF Membership Agreement?

Name:

Job title:

Phone number:

Email address:

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* 6. What start date would you like (1st day of which month)?

Preferred start date:

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* 7. Where did you hear about us?

IWF Member referral (please tell us who in the "other" box below)

Friendly wi-fi referral

Other referral

IWF annual report

IWF website

IWF marketing campaign

Trade show/ event

Social network

Search engine

Forum/ blog

Article online

Article offline

You contacted us!

Other (please specify)

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* 8. Almost there - a few more questions

What is your reason for joining our membership community?

Which of our technical services are you interested in?

Do you use hash technology already? e.g. pDNA, MD5

Do you have a Microsoft pDNA Licence in place already?

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* 9. Anything else you'd like to tell us?

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* 10. I understand that the information I’ve provided on this form will be processed for the purpose of potentially entering into a contract with the IWF.

I agree

IWF Privacy Notice

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