NEW-MEMBER ONLINE REGISTRATION FORM

Please Fill-Out all of the information requested below.
Complete Company Profiles enhance the possibility of positive networking within the Simulation Industry.

Upon completion of the form below, click "Continue".
You will then be taken to a page where you will be asked to select your "Membership Level" based on the size of your company.

Once you have made your "Membership" selection, you will be transferred to a "Secure Transaction Page"
where your membership fee will be processed.

After we have processed your Online Registration you will be given a Username and Password
which will enable your entry into the "Private Members Only" section.
Shortly after Registration we will:
  1. Post your Company/Organization's Logo and Website Link on the "Member's Links" pages in the Public Section.
  2. Enter your Company/Organization's information including the "Point of Contact" Name and Contact Information in the "Members Only" section.
  3. Post your Company/Organization's Logo and Brief Description on the "New Members" page for a minimum of 60 days.
  4. Add your email address to our Email Broadcast list to keep you informed of Industry News and Seminars that may be of interest.
(Note: After your membership has been processed, we will send the information needed to display
your NCS Membership Emblem to attest to your affiliation with The National Center for Simulation.)
Company Information
 
*Company/Organization:
*Address:
*City:
*State: *Zipcode:
*Country:
*Business Phone:
Business Fax:
*Website:
 
*Point of Contact Name:
*Point of Contact Title/Position:
*Email Address:
*Phone Number: ext

 
Company/Organization Profile (This information will help us determine your membership level)
Company Annual Revenue: <$10 Million $10 Million to $30 Million $30 Million+
Number of Employees: 1-15 16-50 51-100 101+
Is the Organization Non-Profit or an Academic Institution?: Yes No
Are you an Student (individual/non-corporate)?: Yes No

 
Company/Organization Focus
Types of Simulation or Other Venture (Please check all that apply):
Aviation
Education
E-Learning
Homeland Security
 Medical Simulation
National Defense
Space Exploration
Training
Other (Please specify):
 
 
Additional Information
Please provide us a description of your company. This description will be used on our website to announce your membership. The description should be approximately one paragraph in length.
 
Is there any other information you would like us to know about your organization so that we may better serve you?
* denotes required field

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