O'Reilly User Group Program: Registration Form

Register Your Group

We invite group leaders to register for the O'Reilly User Group & Professional Association Program. Please note: To avoid duplicate registrations, we require that group leaders, not members, register.

Groups registering for the program should have:

Membership of 5 or more people
Regular newsletter or group web site for shared information

You should hear from us within 10 days of submitting this registration form. If you do not, please email to make sure your application was received.

* Indicates a required field.

Contact First Name:*
Contact Last Name:*
Position:*
Group Name:*
Shipping Address:*
City:*
State/Province/Region:*
Zip code/Postal code:*
Country:*
Phone:* (for shipping purposes only)
Email Address:*
URL:*
Meeting Date:* (eg. "2nd Tuesday")
Meeting Time:*
Meeting Location:*
Size of membership:*
Average number of members that attend meetings:*
Group Interests/Topics:* (Digital Photography, Video, Graphic Design, Music, Linux, Perl, Oracle, Mac, Windows, Telecom, etc.)
How did you hear about our program?*
Do you have a print newsletter?*	Yes No
Do you have an email mailing list?*	Yes No
Do you have a group library?*	Yes No
Does your Group participate in tradeshows or conferences?*	Yes No
If so, which ones?
Does your Group publish book/software reviews?*	Yes No
Does your Group publish book/software reviews on the web?*	Yes No
Does your Group produce any special events?*	Yes No
If so, what and when?
Do you want to receive a regular newsletter from the UG program with news and info from O'Reilly and other sources?*	Yes No
Do you want O'Reilly catalogs for your members?*	Yes No
If so, how many?
Newsletter Format Preference: HTML or Text

Register Your Group

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