ReCreative Partners Program
Name of Organization
Your answer
Organization Website
Your answer
Organization Address
Your answer
Finance Email Address
This is the address to which all quarterly invoices (if applicable) will be sent. We will send your yearly fee invoice to this address unless you use the "Pay Now" option on the confirmation page of this form.
Your answer
Would you like to have the option of direct billing when authorized individuals from your organization shop with us?
Please list the first and last names of those from your organization who have authorization to elect direct billing when shopping with us.
(if applicable) You can change this list any time. Just send us an email!
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Contact Name
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Contact Phone Number
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Contact Email Address
Your answer
Are there any additional email addresses to which we should send our monthly e-newsletter and education event invitations?
Your answer
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