ASUCRP Membership Registration

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Please fill out the information below for addition to the Membership Listserv

Email *

State or Territory *

Agency Name *

Title/Role (ex. Analyst, Manager) *

Are you the State Program Manager (or equivalent) for UCR? *

Yes

First Name *

Middle Initial

Last Name *

Phone Number *

State Repository Vendor (ex. Beyond 2020, Optimum Technologies)

Agency Website *

Send me a copy of my responses.

Submit

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