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ISC Software Guild DHCP Forum Membership Application

You may also choose to print out this form and send it to us by regular mail. It is available in PDF format. Fields marked with '*' are mandatory, but please give us as much information as possible.

Company Name:

Company Name

Contact Name: *

Contact Name

Title:

Address:

Address 2:

City:

State/Province:

Zip/Postal Code:

Country:

Telephone:

Fax Number:

Website:

Federal Tax ID# (US Companies):

Email Address: *

Type of Business:

Version of DHCP run in-house:

DHCP 2.x

DHCP 3.x

DHCP 4.x

Hardware platforms:

Operating Systems:

Number of DHCP servers: *

Estimated max number of clients online at once:

Number of DHCP staff members:

Number of DHCP Engineers:

Notes: