CAPPS - Avocacy and Communication Professional Development

California Association of Private Postsecondary Schools

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Allied Membership Application

Date of Application(*)
Please choose date of application.

Company Information

Please use this form for both new memberships and renewals.

Easy Renewal
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Company Name(*)
Please input your company name.

First Name(*)
Please provide primary contact.

Last Name(*)
Please provide primary contact.

Title(*)
Please let us know the primary contact's title.

New or Changing Memberships

Please also complete the following information if you are applying as a new member or have changes from last year.

Address
Please input your current company address.

City
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State
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Zip
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Country
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Phone
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Fax
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Website
Please provide your company's website link.

Company Description (100 words or less)
Please type (or cut and paste) your school's descriptive information. The text will wrap when submitted.

 

Company Contact(s)

Please provide contact information for anyone who should receive CAPPS communications and information about professional development opportunities. If the number of contacts exceeds the number allowed on the form, you may email them to info@cappsonline.org referencing your membership application.

First Name

Last Name

Title
Please let us know the primary contact's title.

Email
Please let us know the primary contact's email address.

First Name

Last Name

Title
Please let us know the primary contact's title.

Email
Please let us know the primary contact's email address.

First Name

Last Name

Title
Please let us know the primary contact's title.

Email
Please let us know the primary contact's email address.

First Name

Last Name

Title
Please let us know the primary contact's title.

Email
Please let us know the primary contact's email address.

First Name

Last Name

Title
Please let us know the primary contact's title.

Email
Please let us know the primary contact's email address.

 

Payment Information

Membership applications will not be processed until balance due is paid.

Dues (*)
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Payment Type(*)

Please make a selection

CAPPS does not see your credit card information. All information provided is processed directly through our credit card processor.

First Name
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Last Name
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Credit Card #
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Expiration Date
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Email Receipt To

Please make checks payable to CAPPS and mail to 555 Capitol Mall, Suite 705, Sacramento, CA 95814

Conference Reservations

Reserve your exhibit spot for our 2015 Legislative Policy Conference (March 23-24 in Sacramento) and/or our 31st Annual Conference (October 7-9 in San Diego) and be among the first in line for booth selection! Booth selection will be based on the order in which we receive your paid membership and your request to be added to the exhibit reservation list.

Conference Reservation Request(*)

Please choose one option.

ICEPAC (Independent Coalition of Educators Political Action Committee)

Want to donate 5% of your dues to the ICEPAC? This is to help our advocacy efforts with no increase in your dues. Just check "yes" below and we will do the rest. To learn more about ICEPAC, please visit About ICEPAC.

ICEPAC Distribution
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Disclaimer

Dues payments and voluntary contributions to CAPPS are not deductible as charitable contributions. CAPPS has also determined that 20% of dues payments are applicable to lobbying purposes and are not deductible as business expenses. Federal Tax ID #23-7183318

Captcha(*)
Captcha   RefreshPlease type what you see above.
Just a security measure to prove that you are a human.

PLEASE READ: If you are taken back to the form to enter/re-enter something after you hit submit, you will ALSO need to go back and re-input the email addresses, refresh the captcha code and then hit submit again. This is a security measure to ensure CAPPS is not being spammed.

After you hit Submit, an email will be sent to the contacts on the form with the contents of your application.