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Small Business Technology Council

Please fill out this form to join the Small Business Technology Council. For more information please contact Alec Orban at (202) 552-2910 or aorban@sbtc.org.

Contact Information

First Name

Last Name

Company

Address 1

City

State

Zip

Phone

Fax

E-mail

Number of Employees

Business Type

Payment Information

Please submit payment information to complete your membership registration in the Small Business Technology Council. Membership dues are 75% deductible for federal tax purposes. Dues are based on your company's gross annual revenues.
Less than $500K in revenue .......... $350
$500k to $1 million in revenue .......... $750
$1 million to $5 million in revenue .......... $1,000
$5 million to $10 million in revenue .......... $1,500
$10 million to $25 million in revenue .......... $2,500
$25 million to $50 million in revenue .......... $4,500
$50 million to $75 million in revenue .......... $7,500
$75 million to $100 million in revenue .......... $10,000
Over $100 million in revenue ........... $15,000

Credit Card Number

Credit Card Expiration Date

Credit Card CVV

Annual Membership Dues