Join the Self-Service & Kiosk Association
To join the association, please complete the secure form below.
*Required fields
Company/Organization Info
*Company/Organization Name:
*Address 1:
Address 2:
*City:
State/Province:
*Zip/Postal Code:
*Country:
*Phone:
Fax:
Website:
Brief Company Description (limit 500 characters)
Contact Info
Each member company is allowed to have up to five contacts who will be listed in the member directory and receive all Association information. The primary contact receives the annual dues invoice.
First Name
Last Name
Job Title
Phone
E-mail
*Primary Contact
Secondary Contact
Secondary Contact
Secondary Contact
Secondary Contact
Committees
We strongly encourage you to be active on at least one of our
committees
. Please indicate the committees on which you would be willing to participate (check as many as you like):
Best Practices Committee
Standards Committee
Marketing Committee
Membership Committee
Deployer Council (deployer members only)
Research & Statistics Committee
Security & Privacy Committee
Membership Renewal
Check here if you are renewing your membership
Membership Type
While you are considering membership in the Self-Service & Kiosk Association, please consider joining the
Digital Signage Association
at the same time at an attractive combination membership price.
Choose your membership type:
Deployer
Vendor (fewer than 10 employees)
Vendor (10 to 29 employees)
Vendor (30 to 99 employees)
Vendor (100 to 499 employees)
Vendor (500 to 999 employees)
Vendor (over 1000 employees)
Individual
Select the association you wish to join:
Self-Service & Kiosk Association (SSKA)
Digital Signage Association (DSA)
Both SSKA and DSA
Payment Method
*Select one:
Invoice/Check (member benefits will not begin until payment is received)
Credit Card (we accept American Express, MasterCard, or Visa.)
Card Number:
Expiration Date:
Name on Card:
Discount Code:
