OAI Membership Application

You must complete all fields, before you move to the next entry.*
*Organization
Brief Description of Organization
Principal Contact
*First Name	*Last Name
Title	*Address
*City	*State	(State, Providence, or Territory)
*Zip	Fax:
*Phone	*Email
Mobile Phone

* Annual/Membership Fee:
New members, please select your appropriate membership level box, based on pro-rated quarterly dues. If you require an invoice in year one of your membership, please contact us directly. In subsequent membership year(s) you will receive a direct invoice for renewal membership.

Large Industry Sponsor $10,000/ Calendar Year (Multiple points of contact)	Mid-Tier Industry Sponsor $5,000/ Calendar Year	Small Business Network $500/ Calendar Year
1st Quarter (Jan – Mar) - $10,000 2nd Quarter (Apr – Jun) - $7,500 3rd Quarter (Jul – Sep) - $5,000 4th Quarter (Oct – Dec) - $2,500	1st Quarter (Jan – Mar) - $5,000 2nd Quarter (Apr – Jun) - $3,750 3rd Quarter (Jul – Sep) - $2,500 4th Quarter (Oct – Dec) - $1,250	1st Quarter (Jan – Mar) - $500 2nd Quarter (Apr – Jun) - $375 3rd Quarter (Jul – Sep) - $250 4th Quarter (Oct – Dec) - $125

OAI Member Terms & Conditions:
The period of membership is for one calendar year, renewable annually in January. Initial invoice (pro-rated, if applicable) will be sent upon receipt of this application.

*Payment Method:

Check Credit Card/PayPal

Contracted Services Opportunities: (Please indicate your interest:)
Consortia development/management Technology road-mapping Team development Proposal development Technical consulting Proposal “red-teaming” Market research Contract negotiation Program management Grant writing/management		Web services Event coordination On-site representation at NASA or AFRL Congressional funding requests SBIR/STTR collaborations Consortia participation Basic scientific research Scientific expertise Collaborations that reduce cost share