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How to Join VICS

• Please complete the form below
• A confirmation of receipt of your application and an invoice for your membership fee will be sent to the e-mail address you indicate below
• Send a check addressed to VICS referencing the invoice number. Your membership benefits will begin immediately upon receipt of your membership fee.
• If you require assistance, please contact us at info@vics.org.

Company Membership Application
Please answer the following questions then click 'Apply'. *Required Field
Membership Level*	YES, my company would like to join VICS as a: Please select one Sponsoring Member ($7,500 fee - greater than $20M annual sales) - Retailer/Supplier Sponsoring Member ($1,500 fee - less than $20M annual sales) - Retailer/Supplier Associate Member ($15,000 fee - greater than $20M annual sales) - Retail Automation Vendor/Solution Provider/Consultant Associate Member ($7,500 fee - less than $20M annual sales) - Retail Automation Vendor/Solution Provider/Consultant
Company Information
Company Name*
Company URL	e.g., http://www.example.com
Company Address
Address
City
State or Province
Postal or Zip Code
Country
Primary Contact Information
Title
First Name*
Last Name*
Email Address*
Telephone Number*
Fax Number
Type the characters you see in this picture (letters are case sensitive)*