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2012 HIRA Annual Conference
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New Article: “Sweating Out the Pursuit of a Cool Commission”  by Adam Glazer More Info >>
New Article:  Repertiore Magazine “Pavilion Participation” More Info >>

 

Service Provider Membership Application

Service Provider membership shall be available to those companies and individuals that provide various non-product services to either our Allied or Rep members. Policies governing the participation of Service members shall be determined by the Board of Directors of the Association

= Required Field

Company Name:
Company Delegate to HIRA:
Title:
Address:
City:
State or Province:
Zip:
Phone:
Cell Phone:
Fax:
E-mail:
Website:
Registered Trade Name:
# of Years in Business:

Type of Business:
 

How did you hear about HIRA?

Did a HIRA member refer you?


If yes, Who?

Company Officers:

Name: Title:
Name: Title:
Name: Title:

Please write a complete description of the services your company provides:

Please mark any of the following markets into which your service(s) are sold:


        
       

How do you market your services?


What benefits would you like to gain from your HIRA membership?


SPONSOR: If a HIRA member is sponsoring your Application, please indicate who below:

Sponsor Name:

Sponsor Firm Name:

Service Provider Membership is $495.00 per year. You will be prompted by Paypal to pay your membership dues after you click submit.