Online Membership Application

PREA Membership Application
100 Pearl Street, 13th Floor
Hartford, CT 06103
860.692.6341
Fax: 860.692.6351
www.prea.org

To be considered for PREA membership, please complete all applicable information. All reported data, with the exception of institutional investor data, is considered to be public information and may be distributed to PREA members via the PREA website and/or a printed members directory.

 

* = Required field Membership Category Full Corporate       One voting representative (full time employee) and unlimited number of company representatives (full time employees)       Annual dues $5,990 Standard Corporate       One voting representative (full time employee) and four representatives (full time employees)       Annual dues $3,570 Basic Corporate       One voting representative (full time employee) and one representative (full time employee)       Annual dues $2,845 Institutional Investor — For Profit       One voting representative (full time employee) and unlimited number of company representatives (full time employees)       Annual dues $1,950 Institutional Investor — Not for Profit       One voting representative (full time employee) and unlimited number of company representatives (full time employees)       Annual dues $330 Academic Institution       One voting representative (full time professor) and unlimited number of representatives (full time professors)       Annual dues $330   Basic Information Firm Name * Web Address Affiliate 1 1 If applicable, list parent company or subsidiaries here or in the Notes section below. Headquarters Address Address City State Zip Code Business Phone Fax   Voting Representative (The voting representative is the one representative from every member firm that can vote for our Board of Directors and is considered the main company contact.) Name * Title Phone Email   Additional Representatives Name 1 Title Phone Email   Name 2 Title Phone Email   Name 3 Title Phone Email   Name 4 Title Phone Email   Other Offices Office #1   Address Address City State Zip Code Business Phone Fax   Office #2   Address Address City State Zip Code Business Phone Fax   Notes:   Company Overview (50 words or less):   Verification:   Enter the text above:

 

Description of Membership Categories