IMS GLC: Join As an Affiliate

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Your Name:
Your Email:
Your Job Title:
Organization Joining:
Organization Address:
City:
State:
Country:
Post Code:
Your Phone Number:
Your Fax Number:
Subscription Type:	Corporations with over $50M US annual revenue: $12,500 US annual Corporations with over $10M US and less than $50M US revenue: $5,500 US annual Corporations under $10M US revenue: $2,500 US annual Government organizations with over $50M US annual operating budget: $9,500 US annual Government organizations with over $10M US and less than $50M annual operating budget: $4,500 US annual Government organizations under $10M US revenue: $2,500 US annual Individual access for corporate or government employee no use of IMS logo for products or services: $1,500 US annual Higher education institutions with over $500M US annual operating budget: $3,500 US annual Higher education institutions with over $50M US and less than $500M US annual operating budget: $2,500 US annual Higher education institutions with under $50M US annual operating budget: $1,500 US annual Community colleges or FE institutions of any size: $1,500 US annual K-12 or schools organization: $1000 US annual
Conditions:	I agree to the TERMS and CONDITIONS
Please email me an invoice:	Note: Access and participation do not begin until payment is received. If you wish to pay by credit card, do not check send me an invoice.

Join as an IMS Affiliate Organization