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* Name

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* Phone

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* Company/Organization Name

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* Address

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* Which interest category best describes your company/organization?

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* Are you, or your company, a member of these founding organizations of 3-A SSI? Check all that apply. Membership is not required.

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* Please indicate your expertise/interest in participating in the standards development process for the following types of equipment. Check all that apply.

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* Briefly describe your expertise in the equipment and/or 3-A equipment standards.

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