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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