| Applicant Information |
Company
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Street Address
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State or Province
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Zip Code
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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
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Acceptable shortened version of applicant's company
name
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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
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Street Address
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City
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State or Province
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Zip Code
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Title
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Phone
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Fax
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Email
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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.
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