Membership Application

  • 1 Current About Your Company
  • 2 About You
  • 3 Technical Contact
  • 4 Billing contact
  • 5 Marketing Contact
  • 6 Membership Type
  • 7 Complete

Thank you for your interest in joining Conexxus!  If you have any questions about membership or the application process, contact Ann Zecca at [email protected].

Print friendly applications:   Supplier   |  Retailer   |   Nonprofit & Assoc.

Download our W9

Current members: If you are attempting to create a user login, do not complete this application; instead contact [email protected] to request an account.

2020 Retailer PromotionFor first time... new retailer* organizations that join Conexxus now for 2021 can enjoy the full benefits of membership for free for the remaining months of 2020.  This promotion will be automatically applied to any retailer who completes a new application and pays the membership dues prior to December 31, 2020.  *New Retailer must be an organization which has never been a member of Conexxus, or has not been a member in good standing since March 31, 2019.  Visit for membership details. 

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