Membership Application

Complete the form below, print it out, and send it to join the OSGi Alliance.

Organization Information

Name of Organization:

Address:

City:

State/Province:

Zip/Postal code:

Country:

Web site address:

Primary Contact Information

(Primary contact is the person who can vote and handle correspondence on behalf of the organization.)

Name:

Address:

City:

State/Province:

Zip/Postal code:

Country

Telephone:

Fax:

Email:

Video:

Annual Membership Fees Category

Fees apply for 12 months from date of registration.
FULL MEMBERSHIP US$ 20,000 (sample invoice)
ADOPTER ASSOCIATE US$ 3,000 (sample invoice)

Purchase Orders

Please provide a Purchase Order number if your company policy mandates that suppliers must have a valid Purchase Order.**

Funding Instructions

By Wire:**
Bank Details -
Wells Fargo Bank
3111 Crow Canyon Place
San Ramon, CA. 94583
ABA#: 121000248
Swift Code: WFBIUS6S (For International Accounts Only)
Account Details -
Bank Account: 1010322327
Account Name: OSGi Allianc, Inc.
Please add USD 20.00 for wire transfer fees

By Check:**
Make checks payable to -
OSGi Alliance
2400 Camino Ramon, Suite 375
San Ramon, CA. 94583
USA

** Most companies want to set up an account with us before sending us funds. To do this, your purchasing/accounting department will usually request a W9 Form, a 'Request for Taxpayer Identification and Certifiation'. To help expedite your check request, we have prepared a W9 Form for you so that you can simply print this out and submit it to your accounts department along with your request for funds or request for purchase order number.

Click here to download or print a prepared W9 Form.

Intent to Join the OSGi Alliance

Subject to acceptance of this membership, my organization is agreeing to pay OSGi membership dues for the first twelve months and to observe the terms and conditions of OSGi By-laws and Member Agreement. I understand that my organization will be listed as a Member when the OSGi Alliance receives my Membership Dues.

Authorized Individual Name: _____________________
Title: ________________________
Signature: ______________________________________
Date: ____/____/____ (Month/day/year)

To join the OSGi Alliance, complete this form and fax it or send it with a check or Purchase Order made out to OSGi Inc. If you submit this form, you will receive an invoice and acknowledgment within two weeks. Thank you for your membership!

OSGi Alliance
Bishop Ranch 6
2400 Camino Ramon, Suite 375
San Ramon, CA 94583, USA

Attention:
Deepak Kamlani, Executive Director, OSGi Alliance
Phone: +1.925.275.6625, Fax: +1.925.886.3696
E Mail