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Thank you for submitting the ODPi Membership Inquiry Form.
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Raw Data Registration Structure Registration Form Text

Registration

Phone

First name

Last name

Title

City

Country

United States

United States Afghanistan �land Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bu

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Yes

Data Name	Data Type	Options
Phone	Text Box
First name	Text Box
Last name	Text Box
Title	Text Box
Email	Text Box
City	Text Box
Country	Text Box
	dropdown	United States
	option	United States Afghanistan �land Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bu
	option	General Membership
	option	Premier Membership
	option	Associate Membership
	option	End-User Membership Number of Employees*
	option	Up to 499
	option	500 and 1,999
	option	2,000 and 4,999
	option	5,000 and Above New to Open Source*
	option	Yes
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	checklist