Representative Member Application

Membership in this Association shall be composed of those firms, corporations, partnerships or individuals which have operated for more than one (1) year. If you do not satisfy that criteria, we will accept one (1) year’s experience in the healthcare field plus sponsorship by three (3) current HIRA members. In addition to the experience and sponsorships, the applicant must be performing the function of an independent contractor sales representative for two (2) or more principals who manufacture healthcare products. He/She must not have engaged, and agree not to engage, in any activity prohibited by the association’s Code of Ethics.

Annual Membership Fee is $350. Payment is required for membership approval.  After finishing the form, click submit to proceed to Pay Pal and process your payment.