Regulator Observer Application

Apply as a Regulator Observer in the WiMAX Forum.

Enter Individual Details
Enter your information below, including contact information, then click 'Next'. *Required Field
Personal Information
Salutation
First Name*
Middle Name
Last Name*
Job Title *	e.g., Director of Spectrum Policy
Contact Information
Primary Email Address*	Please enter your work email address.
Secondary Email Address
Work Phone Number*	e.g., +1 111 222-5555 or +1 222 333-9999 x343
Fax Number
Cell Phone Number
Mailing Address
Contact Name
Address 1
Address 2
City
State/Province/Region	If you are outside of the U.S. or Canada, you must select "Outside of U.S. and Canada (enter below)" in the dropdown box. Outside U.S. and Canada:
Zip/Postal Code
Country
Privacy Option*	Indicate a preference on how this information should be listed in online directories or rosters of member contact information. Yes, share information No, do NOT share information
Agency or Organization*