CHA Shared Services Premier Partner Application

Zip Code
Website URL
Contact Name
Phone Number
Years In Business
Email Address
Fax Number
Potential services offered by vendor (name & 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?
List existing Colorado clients