Domain Assurance Council Membership Form

Please print this form, fill in the following information, and send it to the Domain Assurance Council (DAC) with payment for a one-year corporate membership, based on the categories described on the Council Membership page.

We will accept purchase orders and send you an invoice, but a company will not be considered a member until the payment is received. You can include a check with your membership form, or see our Forms of Payment page for other options.

Each DAC member has at least two representatives: one primarily marketing, the other primarily technical. Please be sure to fill in the information for both contacts.

By postal mail: Domain Assurance Council
Post Office Box 727
Trumansburg, NY 14886 USA

Company name, postal address, telephone, and URL as you would like them to appear on the membership list
 
 
 
 
 
 
 
 
Membership class:
  ____ Full
  ____ Client
  ____ Technology
  ____ ISP
Marketing representative

(Name, email, phone):

Technical representative

(Name, email, phone):

The Domain Assurance Council Membership Principles are as follows:

The joining company agrees to follow these principles as long as we are members of the Domain Assurance Council.

_________________________________________ (signature)

_________________________________________ (printed name)

_________________ (date)