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TruLink Consortium Application Form
Applicant Information
Company
Street Address
City
State or Province
Zip Code
Country

Title
Phone
Email

Supplier End-user

Membership Listing
For the records of the TruLink Consortium, please state the exact manner in which the applicant's company name should appear in any formal list
Company
Acceptable shortened version of applicant's company name

Submission of this application authorizes the TruLink Consortium, if applicant is accepted for membership as a participating or informational member, to: (a) include applicant's name in the official and public list of members of the TruLink Consortium, wherever such list is printed or reproduced, (b) prepare and issue a press release regarding such membership, subject to the prior approval of such a statement by the applicant's designated primary representative (see below), and (c) include applicant's name as a member in any notices required to be filed with the U.S. or any foreign government, including without limitations the U.S. Department of Justice and the Federal Trade Commission, which notices may subsequently be published in any form, including, without limitation, the Federal Register.

Designated Applicant Representatives
The name of the primary representative to the TruLink Consortium for the applicant will be:

Company
Street Address
City
State or Province
Zip Code
Country

Title
Phone
Fax
Email
Delete from Listserv

The e-mail address of the primary (voting) representative will be automatically added to the TruLink Consortium Listserve (Listserve@TruLink.org) unless this box is checked. TruLink Consortium recommends that you do not check this box.


When you're ready, click the "Send" button,        or "Clear" to start over.