Service Provider Application

The INA looks to partner with companies who offer products and services that address the needs of Networks. Service Provider applications require Board approval. A one-time application fee $1500 will be invoiced at the time of application acceptance. Membership renews annually. Membership dues do not include registration fees for events. Membership dues are non-refundable.

You can expect to be contacted within 2-3 business days of submitting your application.

Service Provider Application

Service Provider Name

Street Address

Address 2

City

State

Postal Code

Phone

Company Website

Please describe the products and/or service you wish to promote within the INA membership

How does your company’s product/service specifically benefit Networks

List 3 highlights of your product/service that differentiate it from others in the marketplace:

List 3 Networks for whom you have provided your product or service:

What preferred or discounted services would you be willing to offer INA members

How many clients do you currently have?

Enter a numeric quantity.

Primary Contact

Prefix

First Name

Last Name

The email address and password entered below will be used for your website account login.

Phone

User Account Password

Confirm Password