SunTUG Membership Application

Please provide the following member information: Required fields are in RED.

First Name

Last Name

Middle Initial

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Contact Phone Include Area Code

FAX

E-mail

Web site URL

Please select the Membership Class you are applying for:

	Class A1, Corporate Membership for ITUG Member	$150
	Class A2, Corporate Membership for non-ITUG Member	$250
	Class B1, Individual Membership for ITUG Member	FREE
	Class B2, Individual Membership for non-ITUG Member	FREE

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Contact Phone	Include Area Code
FAX
E-mail
Web site URL