Membership Signup

What level of Membership would you like to purchase?

Amount Due: $0


 

Organizational Membership is priced by the number of full-time employees (FTE) in your facility. Organizational memberships only cover individuals in your facility/campus; it does not cover individuals or facilities located off your campus. Pricing levels are:

  • 50 or less employees: $450
  • 51-300 employees: $600
  • 301-500 employees: $750
  • 501-750 employees: $900
  • 750+ employees: $1,050

If you chose to be an organizational or InSRHN member, please follow the link that will be in your confirmation email to provide the list of the employees in your organization who you would like to be in the database and receive member benefits.

If you are interested in becoming a Business Partner Network (BPN) member please contact Phil Ellis at pellis@indianarha.org, or 317-902-1749


Contact Information

First Name
Last Name
Title
Organization
Address
City
State
Zip Code
Email
Indiana County
Primary Phone
Did anyone refer you?

Your Online Account Information

Desired Username
Desired Password

Billing Information

Payment Method
Card Type
Card Owners Name
Card Number
CVV
Expiration Date