Prime Service Provider Membership

Thank you for becoming a StateRAMP Member. Please use the form below to register.

The total cost includes membership dues plus processing fees.

Price:

$2,574.97

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

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City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Phone number:* Phone number is Required

Job Title:* Job Title is Required

Company/organization name:* Company/organization name is Required

Secondary Point of Contact Name:* Secondary Point of Contact Name is Required

Secondary Point of Contact Email:* Secondary Point of Contact Email is Required

Marketing Communications Contact (email address):* Marketing Communications Contact (email address) is Required

Website:* Website is Required

Please select all that apply to your organization:* Please select all that apply to your organization is Required

Service Provider Consulting Auditing Advisory Other

Does your organization have a proprietary cloud technology (or multiple products) that you are considering for StateRAMP assessment/authorization:* Does your organization have a proprietary cloud technology (or multiple products) that you are considering for StateRAMP assessment/authorization is Required

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Description	Amount
Prime Service Provider Membership – Payment	$2,574.97
Total	$2,574.97

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