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Company Representative Signup

Company Representative Signup Steps
Personal Info	Done

This is where employees of SNIA Corporate Member Companies can setup a User Account ID and Password to access the SNIA MEMBER COMMUNITY.

Setup a User Account ID and Password

If your company is already a member; you will be able to use the LOOKUP feature to find them in our member database. Then follow the instructions to sign up for your user account and password to access the SNIA Member Community. The system will automatically send you an email once you sumbit the form.

If your company name DOES NOT appear in the list when you search using the LOOKUP button it means your company is not yet an SNIA Corporate Member. Please follow this link to complete our enrollment process.

*Required Field

Company Information

Company*

To Select a Company: 1.Enter all or part of the company name and click 'Lookup'.
2. Highlight your company's name in the list below, then scroll to complete and submit the form.

Personal Information

Salutation

First Name*

Middle Name

Last Name*

Title

e.g., Director of Marketing

Contact Information

Primary Email Address*

Secondary Email Address

Work Phone Number*

e.g., 111 222-5555 or 222 333-9999 x343

Fax Number

Cell Phone Number

Mailing Address

Contact Name

Address 1*

Address 2

City*

State/Province/Region

If you are outside of the U.S. or Canada, you must select "Outside of U.S. and Canada (enter below)" in the dropdown box.

Outside U.S. and Canada:

Zip/Postal Code

Country*

Preferences

Selecting 'No' to the Privacy Option will hide personal contact information from the company roster on the My Account page.

Receive Members Email*

Yes, subscribe to the members email list and send other general announcements
No, do NOT send general members email

Privacy Option*

Indicate a preference on how this information should be listed in online directories or rosters of member contact information.
Yes, share information
No, do NOT share information

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