Please fill in the following information, print the form, and send it to VPNC with a check for US$4,000.00 for a one-year corporate membership. We can also take Visa, Mastercard, and Amex for payment; please contact us by phone at +1 831-426-9827 with your credit card information.

We will accept purchase orders and send you an invoice, but a company will not be considered a member until the payment is received. If you prefer to pay by wire transfer, please contact Paul Hoffman at VPNC for wire transfer information.

Each VPNC member has at least two representatives: one primarily marketing, the other primarily technical. Please be sure to fill in the information for both contacts.

By postal mail:

VPN Consortium    127 Segre Place    Santa Cruz, CA   95060   USA

Company name, postal address, telephone, and URL as you would like them to appear on the membership list

Do you support IPsec? ____ Yes    ___ No

IPsec marketing representative (Name, email, phone):

IPsec technical representative (Name, email, phone):

Do you support SSL VPNs? ____ Yes    ___ No

SSL VPN marketing representative * (Name, email, phone):

SSL VPN technical representative * (Name, email, phone):

Do you support MPLS VPNs? ____ Yes    ___ No

MPLS VPN marketing representative * (Name, email, phone):

MPLS VPN technical representative * (Name, email, phone):

* In some cases we know the marketing and technical contacts will be the same for the IPsec, SSL and/or MPLS side of things. That's just fine. If you indicate you do utilize more than one of these technologies but don't designate alternate contacts, we will assume they are the same.