Name *

First Name

Last Name

Phone *

(###)

###

####

Why are you interested in joining The Alliance? *

To support the tech ecosystem in government

Advocacy on policy issues that impact my organization directly

Personal interest in policy and regulation

To make government more effective and efficient

Other

What type of organization are you? *

VC-backed startup looking to sell commercial products to government

Non-VC backed private company looking to sell commercial products to government

Public company looking to sell to government

Investor / VC

Third party stakeholder

Interested individual

Services provider or consulting firm

Other

What percentage of your company's revenue derives from private sector customers unrelated to government? *

<25%

25-75%

>75%

N/A

Does your organization currently spend money on lobbying or advocacy? *

Yes

No

What is your company's current revenue? *

<$1M in revenue

$1-10M in revenue

>$10M in revenue

N/A

I have read and agree to adhere to the Membership Policy and Bylaws of the organization *

View Membership Agreement

Agree

I understand that this is an application for Membership and does not guarantee acceptance. *

Membership deposits made via the application process will be fully refunded promptly to any rejected applicants following their rejection. Applicants will be considered Contingent Members with rights and status of Members from the time that payment is processed until they receive a formal notice of acceptance or rejection.

Yes