Membership Requested * (check one) -

___ Individual Member

___ Corporate Member

___ Government Subscription

* See ISUG Membership Brochure for more information

Check any of the following m embership choices -

___ Sybase Users' Group of Texas (SUGTX) - Cost: $20.00 (fee waived for ISUG members)

___ Sybase Users' Group of Texas (SUGTX) - ISUG Member ID

___ International Sybase User Group (ISUG) Individual  - Cost: $75.00

___ International Sybase User Group (ISUG) Corporate - Cost: $500.00 (please list all 10 people)

Complete the following or use the ISUG Application Form (Joining ISUG section) -

Name^*: 

Title: 

Phone^*:   Fax: 

Email^*: 

Company/Organization: 

Department: 

Address: 

City:   State:   Zip Code: 

Sybase Site ID or CBSS Number:  (if known)

* Denotes required information

Membership List Release

I understand that my name and address information provided above may be shared with other Sybase user groups or Vendors.

Signature:      Date:

Non-Disclosure Agreement (ISUG applicants only)

ISUG members agree not to use any Sybase confidential information for any purpose except their business relationship with Sybase. Members also agree that they will not disclose confidential information to any person other than their company's employees who are directly involved in the use of Sybase products.

Signature:      Date: