Individual Membership Application

 

 

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

 

 

 

 Dues: $27.50

Please complete the following application and submit:

 

Name

Company Name

Title/Position

Street Address

City, State, Zip Code

Phone Number

 

Fax Number

E-Mail Address


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

DIRECTV 

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

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