COSTARS Registration
* = Required Field
Organization		*
Contact First Name		*
Contact Last Name		*
Title		*
Address 1		*
Address 2
City		*
State		PA AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PR RI SC SD TN TX UT VT VA WA WV WI WY    *
Zip Code		*
Phone		*
Fax
Email
* If you choose to include an email address, your registration confirmation will be sent via email.  Otherwise, your registration confirmation will be sent via standard mail.
User Category		Authority or Commission Borough City - 1st Class City - 2nd Class City - 3rd Class Council of Government County County - Board of Elections Education - Higher Ed Education - Other Education - PA State School District - K-12 Education - School District - K-12 Fire, Rescue, Ambulance Health Institution Other Police Department Town Township - 1st Class Township - 2nd Class    *
Estimated Annual Spend		Less Than $100,000 $100,000 - $500,000 $500,000 - $1 Million $1 Million - $2 Million $2 Million - $3 Million $3 Million +
Please select the information you wish to share with the general public.
Address *		Show   Hide
Phone Number		Show   Hide
Fax Number		Show   Hide
Email Address		Show   Hide
*  This will only affect your organization's street address. City, state, and county will still be displayed.
Password		*
Confirm Password		*
* Password must be between 4 and 15 characters long and is case sensitive.
Once you click submit this registration form will be sent to the COSTARS Division for approval.  Once approved by the Department of General Services your organization will receive a confirmation of your successful enrollment, along with your COSTARS Member Number. † You will need the Adobe Acrobat Reader, version 4.0 or later, to view or print this document.  The Acrobat Reader is available free of charge from Adobe's web site.   Download the Reader.