Request ODVA Agreement

The ODVA Application and Agreement for Membership and Terms of Usage will be prepared using the information you provide below and then sent to your designated authorized signer for review and electronic signature. A SAVE option is available at the bottom of the form. This option allows you to save your form information and return later to complete and submit it to ODVA.

"*" indicates required fields

Applicant Information (in English)

Please complete ODVA application in English.

Name*

Given Name Family Name

Job Title*

Position held within your company

Email*

Email address of individual completing this application

Entity Information

Entity shall at all times be an entity, (i.e., corporation, limited liability company) and not an individual.

A: Company Name (Public-facing name)*

Business name / Tradename of Entity to be displayed at marketplace.odva.org and other public lists of ODVA. Please enter the name as it should appear on your legal agreement with ODVA.

Primary web site address for this business*

URL of business most closely related to ODVA technologies*

You may list the same URL as above, or provide a more specific URL for your products, services, or business division related to EtherNet/IP, DeviceNet, etc.

B: Corporate Legal Name of Entity*

Corporate legal name, as filed with Entity's articles of incorporation, certificate of formation, or other governing corporate documents. Please enter the name as it should appear on your legal agreement with ODVA.

Corporate Address*

If State / Province / Region does not apply, please list N/A

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Web site address for this business*

Location of Incorporation or Establishment (as listed in legal corporate documents)*

If State / Province / Region does not apply, please list N/A

City State / Province / Region Country

C. Parent Company

Is Entity listed in 1B directly or indirectly owned or controlled (50% or more) by another entity?*

Yes

Parent Company Name*

Legal name of ultimate parent of Entity, as filed with such parent company's articles of incorporation, certificate of formation, or other governing corporate documents. Please enter the name as it should appear on your legal agreement with ODVA.

Parent Company Address*

If State / Province / Region does not apply, please list N/A

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent Company web site*

Parent Company's Location of Incorporation or Establishment (as listed in legal corporate documents)*

If State / Province / Region does not apply, please list N/A

City State / Province / Region Country

D. Contacts

The information for designated representatives of the Entity (each a “Designated Representative”) may be updated in the official records of ODVA upon the written request of Entity at any time during the term of this Agreement.

Name of Designated Representative*

Given Name Family Name

Title/Office that Designated Representative holds within Entity*

Preferred Honorific, if any (Mr., Ms., Dr., -san)

Email of Designated Representative*

Business Address of Designated Representative

If State / Province / Region does not apply, please list N/A

Same as corporate address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Phone (International Format)*

Mobile/Cell Phone (International Format)

Name of Accounts Payable Contact*

Given Name Family Name

Title/Office that Accounts Payable Representative holds within Entity

Email of Accounts Payable Representative*

Business Address of Accounts Payable Contact

If State / Province / Region does not apply, please list N/A

Same as corporate address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Business Phone of Accounts Payable Contact (International Format)*

Mobile/Cell Phone of Accounts Payable Contact (International Format)

E. Qualifications for Technology Licensing or Membership.

i. Reasons for Joining ODVA or Licensing ODVA Technology.*

To help ODVA better understand your needs, please explain briefly why you have decided to apply:

ii. Hardware and/or Software Products that Integrate ODVA Technologies.*

EtherNet/IP

DeviceNet

ControlNet

CompoNet

CIP Safety on SERCOS

Complete all that apply

Date of First Manufacture or Implementation for EtherNet/IP*

Date of First Manufacture or Implementation for DeviceNet*

Date of First Manufacture or Implementation for ControlNet*

Date of First Manufacture or Implementation for CompoNet*

Date of First Manufacture or Implementation for CIP Safety on SERCOS*

Does your company already have a Vendor ID issued from ODVA?*

Yes

Vendor ID Number*

Description of Products*

2. MEMBERSHIP

A. Class of ODVA Membership*

An Entity may hold membership in only one class of ODVA membership at any given time. An Entity must also complete Section 3 to become a Licensed Vendor. Please select the desired ODVA membership for Entity:

Principal (voting, 50% discounts on base price of specifications, test software, and conformance test services; requires Board of Directors approval)

Regular (voting, 50% discounts on base price of specifications, test software, and conformance test services)

Associate (non-voting, 25% discounts on base price of specifications, test software, and conformance test services)

Non-Member (not eligible for membership privileges or discounts)

Please contact me to discuss membership options

B. Entity Logo.*

Accepted file types: jpg, png, jpeg, Max. file size: 2 GB.

Please provide Entity’s current logo in JPG or PNG format (250 px width minimum). Send separately to [email protected].

3. ODVA TECHNOLOGY TO WHICH ENTITY SEEKS TO BECOME A “LICENSED VENDOR.”

An Entity must become a licensed vendor of ODVA to each ODVA technology selected below for which this Agreement is being submitted:

Check the ODVA technologies that you wish to license now and in the future.*

EtherNet/IP (includes CIP along with CIP distinctive services, CIP Safety, CIP Energy, CIP Motion, CIP Security, and CIP Sync, plus the EtherNet/IP Adaptation of CIP)

DeviceNet (includes CIP along with CIP distinctive services, CIP Safety and CIP Energy, plus the DeviceNet Adaptation of CIP)

ControlNet (includes CIP along with CIP distinctive service CIP Energy, plus the ControlNet Adaptation of CIP)

CompoNet (includes CIP along with CIP distinctive service CIP Energy, plus the CompoNet Adaptation of CIP)

CIP Safety on SERCOS III (must already have or obtain a license for SERCOS III from SERCOS International)

4. AUTHORIZED REPRESENTATIVE

The ODVA Application and Agreement for Membership and Terms of Usage will be prepared and sent to the individual(s) designated below for review and signature.

Who will sign as your company's Authorized Representative?*

The authorized representative signing the ODVA Application and Agreement for Membership and Terms of Usage has authority to enter into this Agreement on behalf of Entity and to bind Entity and Entity’s Affiliates to the obligations of this Agreement, including without limitation the provisions of Sections 1.2 and 5.5 of the Terms and Conditions of Licensing set forth on Exhibit A to this Agreement (see the Pub00357 Review copy on https://www.odva.org/technology-standards/document-library/).

I will sign the Agreement as the Authorized Representative

Someone else will sign the Agreement as the Authorized Representative

We need two signers: send Agreement to me and the Authorized Representative listed below

Name of Authorized Representative*

Given Name Family Name

Job Title of Authorized Representative*

Position held within your company

Email of Authorized Representative*

The Agreement will be sent to this email address for signing.

Comment

Agreement to Receive Electronic Communications*

I agree to receive electronic communications from ODVA

ODVA products are delivered electronically. To stop receiving communications from ODVA, please contact [email protected].