Network Enrollment Process

Click here to try our new Online Enrollment Form.

PLEASE READ THE INSTRUCTIONS BELOW TO COMPLETE THIS ENROLLMENT


Review the Terms and Conditions and return the signed Network Enrollment Agreement Part I to the Network:

E-MAIL: enrollment@ak-mprn.org
Fax: 1 (907) 348-2330

Upon receipt of the signed agreement, the Network will promptly issue a Certificate of Participation and invoice via email to the Planholder email address shown on the Agreement.

If you have an urgent need for enrollment outside normal business hours (Mon-Fri, 0800-1700 AK Time), please copy the APC Monitoring Center (operations@ak-mprn.org) on your returned agreement - marked "Urgent".