Individual Membership Application



Satellite technicians, installers or individuals working in the satellite consumer industry.




 Dues: $27.50

Please complete the following application and submit:



Company Name


Street Address

City, State, Zip Code

Phone Number


Fax Number

E-Mail Address

Products/Services (can check more than one):      Contract Type:


Commercial VSAT  Residential
DISH Audio/Video Commercial 
Exede Security Voice MDU
HughesNet Data Fiber Restaurants & Bars
DSI Authorized Dealer     
Satellite Radio    



Total Amount Due:  $27.50