The 2022 Full Membership fee is $25,000.

Organization *

Primary Member Representative

Name *

First

Last

Title *

Email *

Phone *

Is the Primary Member Representative also the Steering Group Member? *

• Yes
• No
• Steering Group Member has not yet been identified

Steering Group Member *

First

Last

Steering Group Member Title

Steering Group Member Email *

Is the Primary Member Representative also the Marketing Contact? *

• Yes
• No

Marketing Contact *

First

Last

Marketing Contact Title

Marketing Contact Email *

Is the Primary Member Representative also the Billing Contact? *

• Yes
• No

Billing Contact *

First

Last

Billing Contact Email *

Address

Address Line 1

Address Line 2

City

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Zip Code

Next G Operating Procedures *

• Applicant agrees that, upon approval of participation in the Next G Alliance, it will abide by the Next G Alliance Operating Procedures.

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