PROVIDER / OWNER INFORMATION
ESTIMATED ANNUAL SPEND
Enter total in dollars ($) USD
AGREEMENTS & SIGNATURES
By signing below, Prospective Member agrees and acknowledges that:
Prospective Member hereby agrees to the foregoing terms of participation and confirms that all information supplied by Prospective Member to JOI is complete and accurate. Participation in JOI group purchasing programs is subject to the Policy. If Prospective Member is a Multi-Facility System, Prospective Member hereby represents that it is authorized to sign this Agreement on behalf of itself and each of the facilities listed in Exhibit B. In such case, Prospective Member and each such facility shall be bound by the terms of this Agreement.