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. An application fee $500 will be invoiced at the time of application acceptance and renews annually. Membership dues do not include registration fees for events. Membership dues are non-refundable.

Membership application must be accompanied by one recommendation letter from an existing Network Administrator and is subject to review by the INA Advisory Committee.

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.

How did you hear about the INA?

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