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Forms & Applications

Membership Application

Click on the Icons/Title to access these key forms

Membership Application

Application form to enroll in the HRA membership program, opening the door to exclusive discounts, incentives and rebates.

Membership Verification

Annual verification of members information logging any change of information or status.

Felonious Assault Waiver

A program by HRA and Breeden Benefit Group to cover owners and employees if death occurs during a felonious assault.

Activate/Deactivate Form

Authorization to activate or de-activate a pre-existing account.

ACH Application

Electronic ACH (Automated Clearing House) payment to our valued members. Enrolling allows direct deposit into your bank.

Join The Fastest Growing Retailers Network!

Join by submitting a membership application form

or call

1-866-482-6026 for assistance.

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