RPI Practitioner Premium Membership Application

Select Membership Type*

Primary (first) member at company - $125 - Prorated after the IMA SummitAffiliate (additional) members at same company - $75 - Prorated after the IMA Summit
Your Name*

First NameLast Name
Company*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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Phone Number*
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Company size (full-time employees)*

1 - 5051 - 99100 - 499500 - 9991,000 - 4,9995,000 - 9,99910,000 - 19,99920,000 or more
Check the type that best describes your company/organization*

ConsultantEducational InstitutionFinancial Services/InsuranceGovernmentHealthcareManufacturerMediaNot-for-ProfitRetailServicesTechnologyTelecomunicationsUtility/EnergyOther
If other specify below
Your Position

Account ExecutiveClient RelationsConsultantEducatorHR GeneralistManager/ Assistant DirectorProgram DirectorProgram ManagerSalesSenior ExecutiveSenior LeadershipSenior Analyst/ Analyst SupervisorSpecialistOther
If other specify below
How did you find out about RPI?

Co-workerFriendBy attending another industryRecognition NewsOnline searchSocial mediaOther
If other specify below
What specific challenges or goals are hoping to address through your membership?

Increasing employee engagement and motivationDesigning effective reward and recognition strategyBuilding an effective recognition strategyRecognition program measurement / understanding program effectivenessEquipping leaders and employees with proper recognition training to amplify engagement and program participation
If other specify below
What areas of recognition are you most interested in improving or learning more about? Check all that apply

Increasing employee engagement and motivationDesigning effective reward and recognition programsBuilding an effective recognition strategyRecognition program measurement / understanding program effectivenessOther
If other specify below
What value do you hope to gain from connecting with other professionals in the recognition field? Check all that apply.

Sharing best practices and experiencesGaining insights into new tools and technologiesNetworking and career opportunitiesAccess to educational resources and trainingOther
If other specify below
Are you interested in serving on the RPI committee? Visit https://www.surveymonkey.com/r/QYZNDL to learn more

Yes, if yes, indicate committee of interestNo
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Privacy Policy
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Privacy Policy confirmation*

I have read and grant consent to use my data as outlined in the privacy policy
Payment

Payments or contributions to RPI are not deductible as charitable contributions for Federal income tax purposes. Payments may be deductible as a business expense to the extent allowable by law. If in doubt, please consult your attorney and/or tax advisor.
Membership dues amount
Enter either $250 for primary membership or $125 affiliate membership.
Select payment method*

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You will receive a copy of this form via email. Please make checks payable to RPI (U.S. dollars) and mail with a copy of this form to:

Recognition Professionals International
4248 Park Glen Road
Minneapolis, MN 55416

RPI Federal Identification Number: 36-4219441

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