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Preferred Vendor Application
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Contact AzHHA's headquarters at:
Arizona Hospital and Healthcare Association
2901 N. Central Ave.
Suite 900
Phoenix, AZ 85012-2729
602-445-4300
602-445-4299 (Fax)
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Preferred Vendor Application
Company
Contact Name
Email Address
Address
City
State
Zip
Phone
Fax
Web Site
Years in Business
Potential services offered by vendor: (name and description)
What need is being met by this service/product?
What is the key benefit to our members?
Describe the target market and target audience.
Who/what is the competition for this service/product?
How will this service/product be delivered?
Who would have primary staff responsibility on this account?
How does this activity fit into the current goals and objectives and the long-range plan of AzHHA Service Corporation?
List existing Arizona clients:
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