The Association for Work Process Improvement

Payment Capture and Clearing Council Member Contact Form

Each member organization is entitled to individual contacts. These individuals will receive all correspondence, notice of meetings and other information that is distributed to the council. If you would like to be named as a contact for your organization, please complete the following.

Fields Marked * Are Required

	* First Name	Middle	* Last Name	Suffix
Title

* Company or Organization	* Address
* City	ZIP Code
* State	* Country

* Phone	Fax
* Email Address	Member ID

Primary Job Function *

Purchasing Process Role

Area(s) of Specialty *
(Please Check At Least One)

	Data Capture/Entry
	Forms Processing
	Imaging
	Remittance Processing
	Other

Your Organization's Primary Business Activity *

Membership Category *

I am interested in serving on the following workgroup(s): (Hold down the "control" key to select more than one.)

select ...
Business Work Group
Operations Work Group