Apply for Membership

Please read the terms and conditions and check to accept them below. If you choose not to accept the terms and conditions, your form will not be submitted (as it is a required field).

Once you have accepted the terms and conditions, please fill out the form below as completely and accurately as possible. Once you have finished and submitted the questionnaire, our staff will review the application and within a week will inform you (via the email or phone number you provided) whether you have qualified to become a member.

If you have any questions, comments or concerns regarding the Terms and Conditions or the Application, please feel free to contact us for assistance.

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Terms and Conditions:

Provide as much of the information below as possible (asterisked items are required)
Please note that completing this form does not constitute acceptance as a Defense Alliance member. You will be contacted by a member of the Defense Alliance or one of its partners with regard to membership status.
Non-disclosure policy: The Defense Alliance will keep any information that you submit private until your organization is accepted as a member. At that point, basic information only will be released to the main website (organization name, website, location, line of business and power and energy focus area). The members section of the website (available to other members) will contain more detailed information about your organization.

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Apply for Membership

Terms and Conditions:

Accept Terms and Conditions?*:

Company Contact Information

Name of Organization*:

Primary Contact Address*:

Company Location (city)*:

Company Location (state)*:

Zip Code*:

Company Website (example.com)*:

Primary Contact Name*:

Primary Contact Title:

Primary Contact Email*:

Primary Contact Office Phone:

Primary Contact Mobile Phone Number:

Primary Contact Fax Number:

Outlook VCard Upload for Primary Contact:

Company Specifics/Business Information

U.S. Owned?*:

Line of Business (select all that apply)*:

Line of Business (if "Other"):

What services would you benefit from? (select all that apply):

Services you would benefit from? (if "Other"):

If you have active partnerships with other businesses or organizations that are integral to your product or service, please specify here:

Year Founded:

Size of Business (choose one)*:

Annual Revenues (approx, previous full year):

Quality Certifications (ISO, Mil-Std, etc. Please specify):

Corporate Overview (please provide a brief description of your organization)*:

Government Certifications/Experience

Organization on GSA Schedule?*:

Government Contracting Category (indicate all that apply):

If Minority-owned, please specify:

Organization has a DoD security clearance for its facility?*:

Organization Registered in System for Award Management (SAM) - formerly Central Contractor Registration (CCR)?*:

Organization ORCA Certifications up to date?*:

NAICS Codes (if applicable or known):

DUNS Number (if applicable or known):

Has your organization managed a Government prime contract? If yes, specify the name/agency of last one (or more):

Has your organization managed a Government subcontract? If yes, specify the name/agency of last one (or more):

Has your organization managed a Government R&D contract? If yes, specify the name/agency of last one (or more) and the level of completion (Phase I, Phase II, Phase III):

Comments:

Do you want your company to be listed on the website?*:

How did you hear about the Defense Alliance?*:

News

Events

Accept Terms and Conditions?^*:

Name of Organization^*:

Primary Contact Address^*:

Company Location (city)^*:

Company Location (state)^*:

Zip Code^*:

Company Website (example.com)^*:

Primary Contact Name^*:

Primary Contact Email^*:

U.S. Owned?^*:

Line of Business (select all that apply)^*:

Size of Business (choose one)^*:

Corporate Overview (please provide a brief description of your organization)^*:

Organization on GSA Schedule?^*:

Organization has a DoD security clearance for its facility?^*:

Organization Registered in System for Award Management (SAM) - formerly Central Contractor Registration (CCR)?^*:

Organization ORCA Certifications up to date?^*:

Do you want your company to be listed on the website?^*:

How did you hear about the Defense Alliance?^*: