Technology Vendor Interest Form

If you are technology vendor who is interested in sending data on behalf of your clients, please fill out the form below. We will reach out to you with a vendor agreement form and information about our Authorized Vendor program.

Technology Vendor Interest Form copy
  1. Company Name
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  2. Company Address
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  3. City
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  4. State
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  5. ZIP
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  6. Company Website
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  7. Contact Name
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  8. Contact Phone
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  9. Contact Email
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  10. Marketing Contact Name (if applicable)
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  11. Marketing Contact Email
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  12. Marketing Contact Phone
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  13. Short description of company and customer overview. Please include a link to the company's description.
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  14. What's your main unique selling proposition?
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  15. Who is your target audience?
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  16. Approximately how many orthopaedic specialty or registry-based clients do you have?
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  17. Do you have orthopaedic clients that have indicated their interest in the AAOS Registry Program?
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  18. If "yes," please provide their name(s):
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