This membership appllication enrolls you in DATIA to be eligible for all benefits and services.
To review these services, please go here.
It also includes your listing for the 2000-2001 industry directory.

Directions: To join please complete this membership application. If paying by credit card: Fill in the following form and press SUBMIT below. If paying by check or money order: Print this page, fill out, and MAIL to the address below.

 Company:

 Contact Person:

 Title:

 Address:

 City:

 State:

 Zip:

Phone:

E-mail:

 Fax:

 Web Site:

Referred By:

MEMBER BENEFITS OVERVIEW: all members
  • Receive Bimonthly Drug & Alcohol Testing Industry Newsletter
  • Are listed on the searchable Internet Industry Directory and Buyers' Guide
  • Receive Washington representation and regulatory alerts
  • Have full voting privileges on all matters
  • Have the opportunity to be elected to serve on the association's Board of Directors
  • Can attend DATIA networking events and legislative & regulatory briefings
  • Receive discounts on publications, annual conferences and training sessions

 MEMBERSHIP CATEGORIES: please choose one

Regular ($115)
All benefits in above overview plus:

  • Internet Industry Directory & Buyer's Guide Listing in three (3) categories

Corporate ($500)
All benefits in above overview plus:

  • Internet Industry Directory & Buyer's Guide Listing in six (6) categories
  • 10% discount on conference sponsorship & advertising, with preferred booth location
  • Monthly Inside the Industry newsletter-memo from association Executive Director
  • One complimentary set of DATIA Membership Mailing Labels for use in marketing, and the opportunity to purchase additional sets

Sustaining Corporate ($1500)
All benefits in above overview plus:

  • Internet Industry Directory & Buyer's Guide Listing in eight (8) categories
  • 20% discount on conference sponsorship & advertising, with preferred booth location
  • Listing of your company on the DATIA letterhead
  • Prominent listing on the DATIA website with a link to your company's website
  • All DATIA Publications Complementary
  • Monthly Inside the Industry newsletter-memo from association Executive Director
  • Two complimentary set of DATIA Membership Mailing Labels for use in marketing, and the opportunity to purchase additional sets

Category Selection

Please check the categories under which you would like your company's listing to appear. Regular Membership includes three (3) complimentary categories, Corporate Membership includes six (6) complimentary categories, and Sustaining Membership includes eight (8) complimentary categories. Additional category listings can be purchased for $50 $15 per category.

Service Categories

Alcohol Testing

Employee Assistance Programs

On-Site Testing

Alternative Specimen Testing

Laboratory

Drug Free Policy Development

Consortium/TPA

Medical Review Officer

Substance Abuse Counseling

Collection Services

Mobile Collections

Substance Abuse Treatment

DOT Physicals

Non-mandated Testing

24 Hour Availability

Supplier Categories

Alcohol Testing Instruments

Collection Supplies

Drug Testing Supplies

Alcohol Testing Kits

Drug and Alcohol Periodicals

On-Site Drug Testing Kits

Alcohol Testing Supplies

Drug and Alcohol Testing Software

Training Supplies

Promotional Description

Increase the effectiveness of your listing by including a 50-word description of your company's products and/or services. The description will be included in all categories under which your company appears. This feature is available for $100.$50 Display advertisers receive the promotional description complimentary.
(No descriptions beyond 50 words will be accepted)

Highlight Your Listing

Increase the visibility of your company's listing by choosing to have your listing printed in enlarged bold text. Your listing will be printed in the enlarged bold print throughout the directory, no matter how many categories your company is listed under. The highlighted bold listing is available for an additional $50.$25

YES! Please print my listing in Bold Print.

 Payment Summary

 Description

Price

Total

Membership Dues 

(Refer to chart for pro-rated dues amount )

Additional Category Listings

$50.$15
 

 50-Word Description

$100.$50

 

 Listing Printed in Bold Print

$50.$25

 

 TOTAL (from above)
 

 Payment: VISA MC AMEXCheck (must accompany form)

 Account #

  Expires

 Cardholder Name




EMAIL

Click Submit Button Above

FAX

Fax: 703-519-1716

DATIA
1600 Duke Street, Suite 220
Alexandria, VA 22314

Postal Mail

Questions

Call 800-355-1257

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