User Group Membership Application

To apply for a membership, fill out and submit the form below and we will email a confirmation.

NOTE: Vendors, Consultants and Business Partners will not be accepted, these events are for Lotus Customers only!

* Required Fields

Salutation:
First Name: *
Last Name: *
Title: *
Company: *
Address: *
City: *
State: *
Zip: *
Phone: *
Email: *
 
User Group:
Membership Type:
 
Please fill out the information below that pertains to your membership type:
 
Individual Membership — $75 each
Total # of Individual Memberships
you are Purchasing
 
If you are purchasing more than one individual membership, please include name, title, and email address of each person joining.



 
Corporate Membership — $400 each
If you are purchasing a corporate membership, please provide a list of people that will want to be informed of quarterly meetings. Include name, title and e-mail.
 
Membership fees are due upon receipt, non-refundable and cover a one year period from January to January.
 
Method of Payment:
 
Please send payment to: Logicalis, Inc.
1750 S. Telegraph Rd., Suite 300
Bloomfield Hills, MI 48302
248-745-5458
 
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Copyright 2006, All Rights Reserved, Logicalis, Inc.