Provider Resource Organization

Calendar of Events

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Membership Application Form


Please fill out the following form to pay for a one year membership in Provider Resource Organization.

REQUIRED INFORMATION

 

Is this a renewal?

Please make a selection.

If so, what Pro Chapter:

First Name:

 Enter Your First Name.

Last Name:

 Enter your Last Name.

Phone Number:

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Email:

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Street Address:

 Address is required.

City:

 City is required.

State:

 Please select a state.Please select a state.

Zip:

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Please choose which Membership you are applying for:

Please select one of the memberships below. Bronze Membership - $35.00 Benefits include Chapter Meetings, Quarterly Newsletter, one admission to the PRO Conference at the member price, Lending Library, and listing of name in newsletter & website.

Silver Membership - $45.00 Benefits include Chapter Meetings, Quarterly Newsletter, one admission to the PRO Conference at the member price, Lending Library, list of name in newsletter & website, 25% discount on a rental of a PRO conference vendor table, and hyperlink to your business website and/or email address on the PRO website.

Gold Membership - $70.00 Includes one employee membership and other benefits include Chapter Meetings, Quarterly Newsletter, one admission to the PRO Conference at the member price, Lending Library, list of name in newsletter & website, 25% discount on a rental of a PRO conference vendor table, and hyperlink to your business website and/or email address on the PRO website.

Please choose one of the selections below:

Exempt:

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Certified:

Other:

Registered:

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