GPO Member Registration

Confidentiality and Use

Please Note: The information requested in this Registration Form will be held in the strictest confidence by MobiusRE, and will not be shared with any other Party without the express consent of the Member. MobiusRE will only use this information for the purposes of Membership Certification, and to better match Group Purchasing Organization (GPO) Benefits and opportunities to the needs of the Member.

Username *

Username

Password *

Password

Membership Level *

GPO Member

Email *

Email

First Name *

Last Name *

Company Name *

Primary Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Primary Phone *

Company website

Business Description *

Describe, in general terms, your business and its main focus

Technologies - Contracted/Installed *

Geographic Business Coverage *

Contracting/Installation Experience *

First Year of Operation

In business for 1 to 5 Years

In business for 5 to 10 Years

In business for over 10 Years

Access to Group Purchasing Organization (GPO) Programs

Once this Registration Form is submitted and your Membership has been approved, you will have access to all applicable MobiusRE Group Purchasing Organization (GPO) Programs, Discounts, Rebates and other Benefits (additional individual Program Agreements may be required to be executed).

Terms of Service

I have read and accept the MobiusRE Terms of Service

By submitting this Membership Registration, you are agreeing to be bound by the MobiusRE Terms of Service.

GPO Membership Registration Form

Verification