Member Enrollment Form

By joining as a member employer with STANDING FIRM you will have access to resources that will help you and your organization develop a best practice approach to addressing partner violence in the workplace. Becoming a member of STANDING FIRM shows your employees and the community that you are taking a stand against partner violence and are committed to the wellbeing of your employees.

Learn more about Basic and Premiere Membership Benefits.

If choosing Premiere, you will be emailed an invoice with payment options.

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I want to join as a:*


(see pricing)

Account Information

Username:*
Password:*
Confirm Password:*
Be sure to write down your username and password for future reference. You will need these to log in again to the Members Only section. You may also share your username and password with others in your organization who may wish to access the resources in the Members Only section.

Contact Information

Your name and contact information is for STANDING FIRM information only and will not be made public.
Contact Name:*
Contact's Position:*
Phone:*
Email:*
 

Organization Information

Organization:*
Address:*
City, State Zip:*
Organization Type:*
if other please specify:
Number of Employees
Full-time:*
Part-time:*
Website:*

Enter N/A if you do not have a website.

List our organization name and link to our website (if applicable) on the STANDING FIRM Member list
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Sign Up Today!

Consider joining as a Premiere Member to have access to the Premiere Member-Only resources and discounts on training. Click for more information on membership levels and benefits.

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