Please fill in the general information for your Company. Items with a red asterisk (
*
) are required fields. When you are finished, click the "Submit" button at the bottom of the form.
If you would like help, click on the "Form Help" text and additional information will pop up.
Form Help
Company
Company Name
*
Address
*
City
*
State/Province
*
Postal Code
*
Country
EIN/Tax ID Number
Form Help
Authorized Representative
Salutation
First Name
*
Last Name
*
Email
*
Phone
*
Fax
Address
*
City
*
State/Province
*
Postal Code
*
Country
Form Help
Will the Authorized Representative also be the Billing Contact for this company?
Yes
No
Form Help
Are there other company representatives that will need access to the PTC members only web pages or mailing lists?
Yes
No
Form Help
Please select one of the following categories for this company:
1. Test Vendor, Test Publisher, Test Consultant, Test Provider, etc. (voting, Regular Member)
2. Company, Organization, Government Department, etc. (voting, Regular Member)
3. Associate Individuals only (non-voting Member, limited access to PTC data, publications)
Form Help
Please select the dues level below that most closely matches your Company's revenues. Determination of appropriate dues level is at sole discretion of PTC. Additional information may be requested. Non-Disclosure: Application must be accompanied by a signed PTC Mutual Non-Disclosure Agreement. Dues level and Company information on this Application are Confidential Information between Applicant and the PTC Board of Directors.
$20,000
Cornerstone Sponsor
$16,000
Platinum Sponsor
Test Vendors
Companies, Orgs, Gov'ts
$14, 684
Over $15M
Over $1B
$12,283
$10M - $15M
$500M - $1B
$9,431
$5M - $10M
$250M - $500M
$7,050
$3M - $5M
$100M - $250M
$4,549
$1M - $3M
$25M - $100M
$2,136
$500K - $1M
$5M - $25M
$1,194
Under $500K
Under $5M
$981
Associate (Individuals Only)
$75
Academic Associate (Individuals Only)
