Application Details

Request Received
Small Organization
This is a 12-month membership
This membership includes Unlimited member slot(s)

Membership application for organizations with an annual revenue below $250,000.

Membership Refund Policy

Membership is non refundable and non transferrable.

Glue Up account creation information.

Please enter a first name
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Please enter a last name
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・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Password may not display properly


・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Confirm password (at least 8 characters) may not display properly

Please fill in your individual information.

Please fill in the below form with your company details.

Membership Application

Thank you for your interest in membership. This application is to submit a request to join the Center as a General Member.


Benefits

• Nominate and vote for the Board of Directors

• Priority selection to the Center's policy advisory committee

• Priority selection for the Center's patient advisory committee

• Complimentary Invitation to the Center's Annual Meeting

• Invitation to the State of the Center for Innovation & Value Research

• Onsite visit from Center Leadership

• Brand and Logo recognition on the Center website and in select communications

• Exclusive monthly newsletter highlighting membership news and summarizing Center activities 

Organization Information

Please list your organization name as you would like to have it appear, along with the mission, website, and a high resolution logo. These will be used in IVI electronic communications and other Center materials when promoting membership.

Please enter a company name

Please enter a company description
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Click here to upload a file
Please upload a valid logo for ivi website

Please enter a valid url
e.g. https://app.glueup.com
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Please enter a address
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Please enter a value for the other option. The value cannot exceed 255 characters.

Thank you for submitting an application! We will reach out shortly with next steps and to request any additional information. 


Please contact jessica.brown@valueresearch.org with questions.

Consent

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