Membership Application

Company Information

Company Name*
Address or company headquarters*
Website*
Principal business
Personal computer/smart card activity focus
Does your company have products, or a roadmap to build products, that are PC/SC compatible?
Size of company (# of employees or net worth)

Primary Areas of Interest for Interoperability Issues

Card
Card Reader
Other

Primary PC/SC Workgroup Representative

Name*
Title / Department
Address*
Telephone
E-mail*

Additional PC/SC Workgroup Representative (optional)

Name (2)
Title / Department (2)
Address (2)
Telephone (2)
E-mail (2)

Additional Information

Message
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