Supplier & Friend Membership Application

To apply for membership, please fill out the form below or you may download the application here.

* Required

Membership Annual Dues

Membership dues for assistive and rehab technology companies are based on annual rehab revenue. State associations, consultants, and organizations may be a Friend of NCART and are charged a flat fee.


Revenue under $1.5 Million ($1,000)
Revenue of $1.5 to $3 Million ($2,000)
Revenue of $3 to $5 Million ($3,000)
Revenue of $5 to $10 Million ($5,000)
Revenue of $10 to $20 Million ($10,000)
Revenue over $20 to $30 Million ($15,000)
Revenue over $30 Million ($20,000)
Friend of NCART ($500)

Company Information










Official Representative

A senior level executive is to be designated as the official representative of the company in the activities of NCART. NCART will recognize this person as having voting rights on behalf of the organization.








Login Information


[This is your email address as entered above.]


Other Employees

If others within your organization would like to participate in the activities of and receive updates from NCART, please specify below.

Name Title Email Address
Please notify me of NCART updates on assistive and rehab technology issues.

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