Service Provider Application

Membership Requirements
Service Providers are companies that wish to promote, market and sell their products and services to any RPA member for use within their company operations. These companies are eligible to exhibit at RPA’s Annual Showcase and must have a booth to attend the conference.
All applications are reviewed by RPA’s Membership Committee, which reserves the right to accept or reject any application for any reason.
RPA membership runs from January 1 to December 31 annually for $250.

Company Information

Company Name
Work Phone Fax
Company Email (general, not employee)
Address
City State/Prov
Zip/Zone
Country
Website
Year Opened For Business:
Description of Company's Services

Key Contact Information

Prefix
First MI
Last
Title
Direct Phone
Email

Additional Employees

Employee
Prefix
First MI
Last
Title
Direct Phone
Email
Employee
Prefix
First MI
Last
Title
Direct Phone
Email
Employee
Prefix
First MI
Last
Title
Direct Phone
Email
Employee
Prefix
First MI
Last
Title
Direct Phone
Email
   - denotes required fields