Membership Application Note: Membership dues are assessed annually in accordance with the categories noted. Please check your membership preference and complete the information below.Membership OptionsCorporate - $200: Entitles member to four employee designates on the GTEDC, with the option to add additional members at the rate of $50 per member.Business/ Individual - $75: Entitles member to one employee designate on the GTEDC, with the option to add additional members at the rate of $50 per member.Educational, Non-Profit, Association - $75: Entitles member to one employee designate on the GTEDC, with the option to add additional members at The rate of $50 per member.Student/Retired - $50: Entitles (one) individual on the GTEDC.Membership type* Corporate Business / Individual Educational Student / RetiredName* First Last TItleCompany Name (if applicable)Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Enter Email Confirm Email Do you have a website?* Yes NoWebsite AddressCorporate Designated MembersDesignated Member #1NameTitleDesignated Member #2NameTitleDesignated Member #3NameTitleDesignated Member #4NameTitleIncluded Designated MemberDesignated MemberNameTitleAdditional MembersWould you like to purchase additional members for $50 each? Yes NoHow many additional members would you like to purchase?*Additional Members Cost Price: $0.00 Please enter the names (and titles) of your additional designated members.PaymentTotal $0.00 This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit Card*DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name CAPTCHAHiddenTransaction IDHiddenCodeHiddenDescriptionHiddenDate