Silicon Valley Help Desk Institute

To become a member, please print this page out, fill out the necessary information and mail with check to the address below.

Membership Application Membership Type: ____ Individual Student/Single Person $ 50.00 ____One-Time Speaker $100.00 ____Corporate Up to 5 People $150.00 ____Vendor $250.00 Applicant Information: Name: __________________________________________________ Title: __________________________________________________ Company: __________________________________________________ Street Address: __________________________________________________ City/State/Zip: __________________________________________________ Telephone:__________________Fax:____________________ Email: __________________________________________________ Date: __________________________________________________ Please make check payable to: Silicon Valley Help Desk Institute Mail application and check to: Rob Matheson Silicon Valley Help Desk Institute 400 Bel Marin Keys Blvd Novato, CA 94949 Thank you for making the Silicon Valley Help Desk Institute a success! Visit us at www.svdhi.org