West Virginia Association of Collegiate Registrars and Admissions Officers
2017-2018 MEMBERSHIP FORM
Institution
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Address
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Phone Number
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Please provide an e-mail address where the institution can be invoiced for membership dues.
After the form is completed an invoice will be e-mailed to the e-mail address provided.
e-mail address for invoice
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Member Information: Institutions may list up to five members for the annual fee of $100
Please list the name, title and e-mail of each member below.
Name, Title
Your answer
e-mail
Your answer
Name, Title
Your answer
e-mail
Your answer
Name, Title
Your answer
e-mail
Your answer
Name, Title
Your answer
e-mail
Your answer
Name, Title
Your answer
e-mail
Your answer
Additional Members: Institutions may add additional members for $25 each
Please list the name, title and e-mail for each additional member below.
Name, Title
Your answer
e-mail
Your answer
Name, Title
Your answer
e-mail
Your answer
Name, Title
Your answer
e-mail
Your answer
Questions? Concerns?
e-mail Ella Curry, ella.curry@marshall.edu
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