PXI Systems Alliance
PXI Systems Alliance
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Online Membership Application Form

Company Name:  
Company World Wide Web Address:  
Company Mailing Address:  
Primary Contact Name:  
Title:  

Official Company Contacts

Marketing
Name:  
Title:  
Mailing Address:  
Phone No:  
Fax No:
Email:  

Technical
Name:  
Title:  
Mailing Address:  
Phone No:  
Fax No:
Email:  
 
Please select the appropriate Membership class, referring to the attached fee schedule.
Class Annual
Membership
Dues
$5,000
$2,500
$750
 
* Fields in bold are required.
 
 

Mail payments (with attached company information) to:
PXI Systems Alliance
PO Box 108
Santa Rosa, CA 95402-0108
Ph:  707-890-6588     Fax:  707-890-6511
E-mail: ExecDirector@PXISAa.org 
             PXIadmin@pxisa.org


Member Company