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New Member (Partner) Organization Application

Contact Information for Partner ORGANIZATION Application

NOTE: ESIP does NOT have individuals as partners. All ESIP partners are organizations. If you have a question, email staff@esipfed.org for more information before filling out this form.
2. Who will be the primary contact for the partner organization?
3. Who will be the designated Assembly Representative? Please note that this person will be responsible for attending Assembly Meetings or designating a proxy to do so. This person will be responsible for voting in infrequent Assembly votes or designating a proxy to do so. If this person changes, please contact staff@esipfed.org as soon as possible.
4. Please add any alternate or proxy assembly representatives, if available.