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Member Application (July 1 to June 30) …

Tags: 150m, company member, information company, july 1, member application,
Pages: 2
Language: english
Created: Wed May 11 14:05:04 2005
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Member Application (July 1 to June 30)                                                                                                                                                                                                                                                                                               Member Contact Information
             Company                                                                                                             Member                                                          Add                                                            Total                                                                Company Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
             Revenue                                                                                                             Only                                                            MSS*                                                           with MSS
                                                                                                                                                                                                                                                                                                                                     Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
             Voting Member
             Over $150M                                                                                                                       $20,000                                                         $3000                                             =        $23,000                                                     City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State . . . . . . . . . . Zip                               .....................                  Country . . . . . . . . . . . . . .
             Over $50M                                                                                                                        $15,000                                                         $3000                                             =        $18,000
             Over $20M                                                                                                                        $10,000                                                         $3000                                             =        $13,000                                                     Main Phone                                   ..........................................                                     Web Address                                       .....................................................

             Over $5M                                                                                                                         $5,000                                                          $3000                                             =        $8,000
             Under $5M**                                                                                                                      $2,000                                                          $1000                                             =        $3,000
             Associate Member                                                                                                                                                                                                                                                                                                        President/CEO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
             Investment Banker                                                                                                   Included                                                                     $10,000                                           =        $10,000
             Tech Company Over $1B                                                                                                   $5,000                                                                   $4,000                                            =        $9,000                                                      Direct Phone                                       .......................................                                  Email                   ...................................................................


             Tech Company Under $1B                                                                                                  $1,500                                                                   $4,000                                            =        $5,500
                                                                                                                                                                                                                                                                                                                                     Is your president/CEO your Designated Voter?                                                                                                                                         Yes                              No
             Individuals                                                                                                             $250                                                                     $5,000                                            =        $5,250
             Non-Member
             Tech Company                                                                                                        N/A                                                                          $5,000                                            = $5,000                                                             If No, Designated Voter Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

                                                                                                                                                                                                                                                                                                                                     Voter Title                              .............................................................................................................................
* MSS subscription rates: $10,000 annual base rate; $4,000 for member companies that
do not contribute to the MSS report; $3,000 only for member companies that
participate as data contributors to PricewaterhouseCoopers. Strict confidentiality is                                                                                                                                                                                                                                                Voter Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Voter Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
maintained on all company data.
** Emerging Company members (revenue under $5M) have a special MSS rate of                                                                                                                                                                                                                                                           Your signature certifies that you meet the membership requirements, have
$1,000 only if they participate as data contributors.                                                                                                                                                                                                                                                                                accurately reported your membership revenue category, and agree to support
                                                                                                                                                                                                                                                                                                                                     the mission of the EDA Consortium. If payment is received by September 30,
Join Now
                                                                                                                                                                                                                                                                                                                                     you will receive a discount off booth and/or suite space at DAC and DATE.
Check the appropriate boxes above (member only or member with MSS),
submit payment by check or credit card, and provide your member contact                                                                                                                                                                                                                                                              Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
information.

By Mail                                                                                                                                                                                                                                                                                                                              MSS Contact Information
Make check payable to: EDA Consortium
P.O. Box 200246, Pittsburgh, PA 15251-0246                                                                                                                                                                                                                                                                                           MSS Subscriber                                            ....................................................................................................................




By Fax                                                                                                                                                                                                                                                                                                                               Direct Phone                                     ........................................                                   Email                   ...................................................................


Fax credit card payment to: (408) 317-3322
Card Type                                                                       Visa                                                         MC                                                          AMEX                                                                                                                        MSS Data Contributor                                                              .......................................................................................................




Card # . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   Direct Phone                                     ........................................                                   Email                   ...................................................................




Expiration Date                                                .............................................                                         Amount $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                                                                                                                                                                                                                                                                                                                     I acknowledge and agree that the information and data contained within the
                                                                                                                                                                                                                                                                                                                                     Market Statistics Service report is for my company's internal use only and will
Cardholder Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                                        not be distributed, transferred, leased, sold, rented, exchanged, released or
                                                                                                                                                                                                                                                                                                                                     otherwise made available in any medium whatsoever to any third parties for
Cardholder Street Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .and Zip Code                                                                                                               ................................................
                                                                                                                                                                                                                                                                                                                                     any purpose whatsoever without prior written consent of the EDA
                                                                                                                                                                                                                                                                                                                                     Consortium.
Work Phone                                     ........................................................                                             Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                                                                                                                                                                                                                                                                                                                     Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Additional Member Contacts (optional)                                                                                                                                                                                                               Membership Requirements

Please designate a contact for the following EDA Consortium                                                                                                                                                                                         Voting Members
Committees, as appropriate:
                                                                                                                                                                                                                                                    Voting members are companies engaged in the development,
Anti-piracy                                                                                                                                                                                                                                         manufacture and sale of design tools and services to the electronics
                                                                                                                                                                                                                                                    engineering community. Membership entitles your company to
Name                 ........................................................................                                       Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                                                                                                                                                                                                                                    vote on policies, receive a membership plaque, have employees serve
Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email    ..............................................................                                                 on a committee or as an officer, use of the Consortium's logo in
                                                                                                                                                                                                                                                    promotions, receive invitations to meetings, and receive all pertinent
Communications
                                                                                                                                                                                                                                                    correspondence.
Name                 ........................................................................                                       Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                                                                                                                                                                                                                                    Non-voting Members
Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email    ..............................................................


                                                                                                                                                                                                                                                    Businesses, Associations or Consortiums
Emerging Companies
                                                                                                                                                                                                                                                    Businesses, Associations or Consortiums shall include organizations
Name                 ........................................................................                                       Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   not actively engaged in the development and sale of EDA products,
Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email    ..............................................................
                                                                                                                                                                                                                                                    but which are associated with and interested in the EDA industry.
                                                                                                                                                                                                                                                    Membership entitles you to receive a membership plaque, have
Export Control                                                                                                                                                                                                                                      employees serve on committees, attend all meetings and receive
Name                 ........................................................................                                       Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   all correspondence.

Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email    ..............................................................                                                 Individuals and Consultants

Interoperability & Quality                                                                                                                                                                                                                          Individual Associates shall include individuals and consultants
                                                                                                                                                                                                                                                    with an interest in the activities of the Consortium and in the EDA
Name                 ........................................................................                                       Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                                                                                                                                                                                                                                    industry. Membership entitles you to serve on committees, attend
Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email    ..............................................................                                                 all meetings and receive all correspondence.

OS Roadmap                                                                                                                                                                                                                                          Educational Institutions
Name                 ........................................................................                                       Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   Educational Institutions shall include educational institutions
Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email    ..............................................................
                                                                                                                                                                                                                                                    interested in the development and use of EDA products.
                                                                                                                                                                                                                                                    Membership entitles you to receive a membership plaque, have
Other executives to receive our event invitations:                                                                                                                                                                                                  employees serve on committees, use the Consortium's logo in
Name                 ........................................................................                                       Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
                                                                                                                                                                                                                                                    promotions, attend all meetings and receive all correspondence.

Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email    ..............................................................




Name                 ........................................................................                                       Title . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email    ..............................................................