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WCET Membership Application Form

Please enter all fields below.

Organization: *

Name of Your Primary Contact (your official representative to WCET): *

Title: *

Department: *

Address 1: *

Address 2:

City: *

State:

ZIP/Postal Code:

Country: *

Website:

Email: *

Phone: *

Fax:

Select from below to determine your dues.

Public, private, non-profit institution with less than 5000 student FTE:

$1,500 (standard member)

$5,000 (supporting member)

Public, private, non-profit institution, 5,000 or more student FTE:

$3,300 (standard member)

$5,000 (supporting member)

Proprietary, for-profit institutions:

$5,000 (standard member)

$10,000 (supporting member)

State or System Higher Education Office:

$1,500 (standard member)

$5,000 (supporting member)

e-Learning Consortium Office:

$1,500 (standard member)

$5,000 (supporting member)

Non-Profit Organization:

$1,500 (standard member)

$5,000 (supporting member)

Corporations:

Corporations with less than 5 staff: $950

Corporation: $5,000 (standard member)

Corporation: $10,000 (supporting member)

***NOTE for educational institutions: You must provide evidence of third-party authorization.***

For U.S. institutions, please provide the name of your regional or national institutional accrediting agency. For non-U.S. institutions, describe the governmental or third-party organization that authorizes the institution.

Institutions - Briefly describe your third-party authorization:

Please provide the name(s), title(s), and email(s) of other individuals from your institution/organization who should be added to our member contact list to receive WCET communications.

Additional member contacts:

Please tell how you learned about WCET:

Payment is expected within 30 days. For questions, please contact Sherri Artz Gilbert or 303-541-0209.

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