interRAI Contact Information from Users

interRAI is requesting that all organizations with a licence to use our instruments provide us with the following contact, data submission, and vendor(s) information. When you have entered all required information below, click Submit.

Please direct any questions to contracts@interRAI.org.

Contact Information

Are you a... *

Enter the names and contact information of your organization’s primary and secondary (if applicable) contacts for licensing and contracts.

Primary Contact: Name *

Primary Contact: Email *

Primary Contact: Phone *

Secondary Contact: Name *

Secondary Contact: Email *

Secondary Contact: Phone *

Enter the name and email address of the person leading interRAI implementation activities.

interRAI Content Leader: Name *

interRAI Content Leader: Email *

If your organization will be paying license fees and royalties directly to interRAI, please enter the name and email address of the staff responsible for accounts payable.

Finance Contact: Name

Finance Contact: Email

Enter the names and email addresses for two staff who require access to the interRAI Repository.

interRAI Repository User 1: Name *

interRAI Repository User 1: Email *

interRAI Repository User 2: Name *

interRAI Repository User 2: Email *