Membership Registration Form (Corporate: Individual)

※Use this form if you wish to add employees of your company to an already existing Corporate member. Do not use the individual form. Adding multiple representatives for your company will not affect the cost. If your company is not registered yet, you should submit the corporate entity form first.

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First Name *

Middle Name

Last Name *

Email Address *Please use your organization's email domain. Email address that was previously approved cannot be used again for different users.

Phone *

Website (or Linkedin)

Street Address *

Apartment, suite, etc

City *

State/Province

ZIP / Postal Code

Country *

Current Status *

Organization Name *

Job Position

Regulatory related experience *

Consultancy/AdvisoryRepresentation/ManagementLegalLaboratoryRegulatory policyRegulations governance and enforcementRegulatory complianceStandards developmentConformity assessmentResearch and DevelopmentEHS ManagementPurchaseIT/SoftwareOthers

Experience in the Regulatory Field *

Area(s) of Expertise *

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How did you find out about RRMA? *

Reference

*I agree with RRMA’s privacy policy and terms and conditions.

Kindly note that the submission of the application does not grant the membership rather it will be evaluated by the RRMA committee which will conclude the decision of the membership application.

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