Apply for full membership

Data submitted via this form will be handled in line with the �鶹��Ƶ's .

This is intended for companies wishing to become Platinum, Gold or Silver members of the 5G/6GIC.

Company details

Name of company

Brief description of company’s products or services

Address line 1

Address line 2

City/town

County/state

Postal/ZIP code

Country

Company website address

Make sure you add https:// at the beginning of your URL.

Name of parent company and location of parent headquarters

Contact details

Contact name

Contact email address

Contact phone number

Membership details

Tier of membership being applied for

Platinum

Gold

Silver

Privacy notice

I have read and understood the 5G/6GIC's membership privacy notice.

Contact agreement

I am happy for the �鶹��Ƶ to contact me by email with relevant information about the 5G/6GIC SME engagement.

I am happy for the �鶹��Ƶ to contact me by phone with relevant information about the 5G/6GIC SME engagement.

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