Complete the RAPID member application inquiry form below and someone will be in touch with you about your inquiry. Application PDF Organization Name Additional Organizational Contacts Provide additional names of key people if applicable. Members Council Representative Name Title Address City Zip Code State - Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Office Number Mobile Number Email Financial Contact Name Title Address City Zip Code State - Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Office Number Mobile Number Email Organization Information Insert a brief organization description here. In particular, what kinds of goods or services are provided by your company or organization? Describe your organization's current level of U.S. capability and resources, those anticipated during the project work, and/or planned in the future, including employment, funding, and investments in cost share within the U.S. related to your participation in RAPID. What R&D facilities or operations outside the US related to modular chemical process intensification does your company have? Describe the anticipated benefits of your membership and/or participation in projects to the success of RAPID's mission. U.S. economic benefit, the project team (if application), and the broader membership. How can your organization contribute to the RAPID expertise base? Overall Organization Information BUSINESS SIZE - Select - Large Business (> 500 people) Small Business Business Type Select all that apply Not for Profit/Academic Institution Foreign Control/Ownership (50% or greater owned or controlled) Minority Owned Woman Owned Parent Organization(s) Name Country of Incorporation of Parent Organization Designated Interest Areas Designated Interest Areas - Select - Chemicals & Commodity Processes Intensified Process Fundamentals Modeling & Simulation Module Manufacturing Natural Gas Upgrading Renewable Bioproducts U.S. Employees' Job Functions U.S. Employees' Job Functions Select all that apply Consulting Engineering Management MFNG Research & Development Sales Technical Service Total Employees in the U.S. - Select - 1-10 11-50 51-250 251-500 501-1000 1001-2500 >2500 Capabilities and Interests Capabilities and Interests Select all that apply Software Design Hardware Design Computational Design Process Simulation Process Design Process Control Education and Training Piloting Capabilities Integrated Modular Equipment Design Project Execution Techno-Economic Evaluation Membership Type Requested Membership Type Requested - Select - Non-Profit Organization Membership|Non-Profit Organization Membership Government Agency/National Laboratory Membership College or University Membership Industrial Membership|Industrial Membership Small Business (<500 employees) Industrial Membership Medium Business (500-1,000 employees) Industrial Membership Large Business (>1,000 employees) Select the level of Non-Profit Organization Membership - Select - Premier - $7,000 Choice - $7,000 Enabling - $7,000 Affiliate - $1,000 Not sure, would like to discuss. Select the level of Government Agency/National Laboratory Membership: - Select - Premier - $7,000 Choice - $7,000 Enabling - $7,000 Affiliate - $1,000 Not sure, would like to discuss. Select the level of College or University Membership: - Select - Premier - $7,000 Choice - $7,000 Enabling - $7,000 Affiliate - $1,000 Not sure, would like to discuss. Select the level of industrial membership - Small Business (<500 employees) - Select - Premier - $50,000 Choice - $20,000 Enabling - $5,000 Affiliate - $1,000 Select the level of industrial membership - Medium Business (500-1,000 employees) - Select - Premier - $50,000 Choice - $20,000 Enabling - $5,000 Affiliate - $2,500 Select the level of industrial membership - Large Business (>1,000 employees) - Select - Premier - $50,000 Choice - $20,000 Enabling - $5,000 Affiliate - $5,000 I acknowledge the Terms & Conditions? Name of Authorized Representative CAPTCHA Math question (12 + 5 =) Solve this simple math problem and enter the result. 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