Note: This letter of participation may be completed only by representatives of E&I member institutions. To determine whether your institution is a member, visit our . To join E&I, complete a Member Locator . Membership Application
E&I Member acknowledges that it may elect to participate in only one (1)
Max-R agreement at any given time, and hereby agrees to purchase Max-R products in accordance with E&I/ Max-R Master Agreement CNR01348. E&I Member agrees that this Contract Participation Form for the above referenced Agreement shall supersede all previous declarations for the purchase of product and services from Max-R. E&I Member further understands that enrollment in this Program will remain in effect during the Agreement term, including any extensions.
Upon receipt of this Contract Participation Form,
Max-R will enroll E&I Member in the program. Processing this form will take 4 to 7 business days (during the initial contract launch and during periods of increased Member activity some additional processing time may be necessary). An e-mail notification will be sent by Max-R informing E&I Member that the new or existing account(s) is now linked to this Agreement.
If you have any questions about this form or the E&I Master Agreement with
Max-R, please contact your or Member Relations Representative David Manz by email at . email@example.com
By completing the form below, your Institution is requesting to be enrolled in the program.
* indicates a required field.
We are a current Max-R customer. We are requesting to have all existing accounts (specified below) to be linked to E&I Master Agreement CNR01348. We are a new Max-R customer. We are requesting a new account to be set up and enrolled under E&I Master Agreement CNR01348.
Additional Contact(s) Please enter one contact per line. Please include the contact name, phone number, email address.
Account Number(s) Please enter one account per line. Please be sure to include account numbers if known.