Technical Assistance Center Membership

Technical Assistance Membership Application

Please note that required questions are marked with an *
Your Individual Contact Information

Member Organization Profile Information

The preferred name that the organization uses to market itself to the general public.

This is generally a main administrative office phone number.

If you have a different phone number for new potential client inquiries, list that here. This is the phone number we will use in your promotional listing on our website.

Do you also have a general organizational email that you would like us to include for referrals? This is normally something like info@tac.com or sales@tac.com.

What legal structure do you have?*

Client Services

We offer the following services to developing and operational PACE organizations (check all that apply):

Exploration

Development

Operations

Staff List for Membership Benefits

Our memberships are done on an organizational basis. Once your organization is approved as a member, all of the benefits of membership are available to your entire staff. In order for them to take advantage of their member benefits, they'll just need an NPA account.

How would you like to add your staff*

Other Staff Contacts

This field is required

If you are creating a list, we'll need the same information that we asked for you above (full name, postnominal, job title, email, preferred direct phone number). Or, if it's easier for you, feel free to upload an existing staff roster. Word and excel files preferred, but we can also accept PDF files.

Ready to Submit?
I accept NPA's member code of conduct.*

I accept NPA's antitrust policy and guidelines.*

Your membership application must first be approved, and then you will be invoiced. NPA's annual membership year runs from July 1-June 30. If you apply during the year, your membership will be pro-rated for the rest of the membership year, and billed annually thereafter. Membership in NPA will not begin until payment in full is received. Membership is non-refundable. Please signal your acceptance by checking "yes" below.*

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