IAOA Member Vendor Program IAOA Member Vendor Program (MVP) This is the form vendors need to complete to be listed on IAOA website. "*" indicates required fields Official Business Name* Official Point of Contact (not where leads go, but main point of contact for your company)* First Last Official Contact Phone*Official Business Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Official Title Email for leads/inquiries to be delivered to* Please provide your company website URL:* Please choose the top 2 categories that best describe what services or product you offer to agencies:* Brokers MGA Aggregators Customer Service Insurance IT Support Lead Generation Payment Solutions Premium Financing Training Virtual Assistant Web design and Development What questions would you like asked to qualify your lead?Enter one question per line3-5 paragraphs explaining your company and value*Webinar Link Your logo upload*Accepted file types: jpg, png, Max. file size: 100 MB.Please upload a high resolution version of your logoWhat discount can you provide IAOA members?* Do you have a YouTube video to include on your page? Paste link below This could be a video such as an explainer video or demo video that clearly describes your product or service.Are you an existing IAOA INNOVATION Event Vendor?YesNoHave you been an event vendor any time in the past?, You qualify for a 50% reduction in your annual subscription.Annual Partnership Subscription Price: Annual Partnership Subscription Price: Name on the card* First Last Cardholder email address* Credit Card Number* Expiration Date* MM slash DD slash YYYY Security Code* Billing Zip Code* Δ
