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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・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
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・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
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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.  Membership is open to all organizations who support the mission and vision of the Center for Innovation & Value Research (the Center).


Benefits

  • Nominate and vote for the Board of Directors 
  • Priority selection to the Center's Public Policy Council 
  • Priority selection for the Center's Patient Advisory Council 
  • 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, Value Brief, 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 may be used in electronic communications and other Center materials when promoting membership, with permission obtained from the Center in advance as required.

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 center website

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e.g. https://app.glueup.com
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Primary Contact 

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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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