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Become a MAGNET Member Facility

Easy Member Sign Up Program

Please complete the Participating Facility Contact Information Form below

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Contact Information


Facility Information:

By clicking on the 'Submit' button below, I certify that this transaction is done in accordance with the Electronic Signature in Global and National Commerce Act, 15 U.S.C. § 7001, et seq., and any applicable state laws, rules and regulations in respect of electronic signatures and electronic commerce. I also certify that I am authorized to conduct this transaction on behalf of Participating Facility.

Please download and review the MAGNET Group Participation Agreement (PDF)

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