MIDI Email Marketing -

MIDI Association Corporate Membership Application

Company Name*

Designated Rep*

First Name*

Last Name*

Email*

Address*

City*

State/Country*

Zip*

Phone*

Website URL*

Application Date*

Company Country*

MIDI Association Corporate Member Level*

$600-Annual Dues (sales under 1 Million $US/yr.)

$1,200-Annual Dues (sales between 1 and 10 Million $US/yr.)

$3,000-Annual Dues (sales between 10 and 100 Million $US/yr.)

$4,000-Annual Dues (sales between 100 Million and 1 Billion $US/yr.)

$8,000-Annual Dues (sales between 1 and 10 Billion $US/yr.)

$12,000-Annual Dues (sales between 10 and 100 Billion $US/yr.)

$20,000-Annual Dues (sales over 100 Billion $US/yr.)

As an authorized representative of the Applicant (above) I hereby request that we be assigned a MIDI System Exclusive ID number.

We agree to pay the then-current fee in each calendar year during which we manufacture any products that use our Manufacturer ID. We understand that our ID will be revoked for failure to pay the annual fee. MIDI Association Corporate Membership dues include the cost of the annual SysEx fee.

An asterick (*) indicates a required field.