Add / Update Profile Information

Please add / update your profile below.

Once you submit your profile, we will contact you asking for a company logo in .EPS format. The logo will be used on the Member Directory Search Results page for quick visual reference, and to promote any event you are involved in with the Consortium.

NOTE: Only member organizations of the Consortium will be listed.

* field is required

COMPANY INFORMATION
*Company:
*Company URL:	(should be in the form http://www.company.com)
Company Logo:	You will be contacted for a logo file in .EPS format
*Business Category:	Association Consultant or Law Firm Government Health Plan Hospital / Hospital System Other Provider Vendor
*Types of Company Services: (you may select more than one)	To select multiples, hold down control while selecting. If 'Other', please enter service here:
Brief description of services:
Additional Comments:
Company Contact Information:
*Name:
Address:
Address 2:
City:
*Email:
*Phone:
State:
Zip:


SPEAKERS BUREAU INFORMATION
Speaker #1:
Speaker's Name:
Contact for Speaker: (if different)
Contact's Phone:
Contact's E-mail:
Speaker's Topics:
Speaker #2:
Speaker's Name:
Contact for Speaker: (if different)
Contact's Phone:
Contact's E-mail:
Speaker's Topics:
Speaker #3:
Speaker's Name:
Contact for Speaker: (if different)
Contact's Phone:
Contact's E-mail:
Speaker's Topics:

For further information on any of the membership categories, please see the Membership section of our web site. For specific inquiries about the Consortium Memberships, please contact Arleen Coletti, Director of Members & Exhibiting Services, via e-mail or at (781) 768-2512. We welcome your further questions & look forward to your participation in our work and our events!