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Membership Application

If you have questions about our fee structure, please feel free to call 1-800-214-6742 for more information.

     

General Information

           
        

Supplier Partner Information

Managed Care Contracting Information

     
        
     
Name:    Credential:
Email:
 
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What products or services are you able to provide?

     
     
     
     
     
     
     

Internet Information

     
For the most current OPGA updates, we invite you to visit our Website regularly at www.opga.com
     

Would you like more information on our special pricing for

Branch Information

 
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Online Login Information

Your members only login will be your OPGA member number which will be provided when your application is processed. Please provide the email addresses that you would like to have access to the members only section of our website.

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  • I wish to join the VGM Group company I have chosen above.
  • I understand an OPGA associate will contact me with the cost of my monthly dues.
  • I understand that I must stay current (60 days) or will be subject to loss of supplier partner discounts.

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After we review your application a representative will contact you. At that time, you may be asked for more information.