Online Membership Application

PREA Membership Application
100 Pearl Street, 13th Floor
Hartford, CT 06103
860.692.6341
Fax: 860.692.6351
www.prea.org

To be considered for PREA membership, please complete all applicable information. All reported data, with the exception of institutional investor data, is considered to be public information and may be distributed to PREA members via the PREA website and/or a printed members directory.

* = Required field Membership Category Full Corporate       One voting representative and unlimited adjunct representatives       Annual dues $5,990 Standard Corporate       One voting representative and four adjunct representatives       Annual dues $3,570 Basic Corporate       One voting representative and one adjunct representative       Annual dues $2,845 Institutional Investor — For Profit       One voting representative and unlimited adjunct representatives       Annual dues $1,950 Institutional Investor — Not for Profit       One voting representative and unlimited adjunct representatives       Annual dues $330 Academic Institution       One voting representative and unlimited adjunct representatives       Annual dues $330   Basic Information Firm Name * Web Address Affiliate 1 1 If applicable, list parent company or subsidiaries here or in the Notes section below. Headquarters Address Address City State Zip Code Business Phone Fax   Voting Member Name * Title Phone Email   Adjunct Members Name 1 Title Phone Email   Name 2 Title Phone Email   Name 3 Title Phone Email   Name 4 Title Phone Email   Other Offices Office #1   Address Address City State Zip Code Business Phone Fax   Office #2   Address Address City State Zip Code Business Phone Fax   Notes:   Company Overview (50 words or less):   Verification:   Enter the text above:

 

Description of Membership Categories