ORSCI Affiliate Member Application
Thank you for your submission.  We will only be allowing one service provider per industry to attend our events.  If you are a professional willing to contribute your time and expertise, then please fill out the form below.  Note that only certain industries are represented at this time.  If you are in an industry that is not on the list, please select 'other' along with a description and the committee will review.

 If you have any questions, feel free to email us at info@orsci.net.
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Name *
Company Name *
Email *
Industry Represented *
If 'other' please explain industry
Have you attended an ORSCI meeting in the past?  When? *
Explain qualifications/expertise in your industry. *
How does your insights contribute to the Society? *
Submit
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