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.

Company Name(*)
Please input your company name.

Address(*)
Please input your current company address.

City(*)
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State(*)
Please select a state.

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)

Primary Contact

This person will be the main contact for CAPPS and will be referenced on your dedicated website page. He/she will also receive CAPPS communications and information about professional development opportunities.

First Name(*)
Please provide primary contact.

Last Name(*)
Please provide primary contact.

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

Phone (if different than company)
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Additional Contacts (Optional)

Please provide contact information for those that 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

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

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After you hit Submit, an email will be sent to your primary contact with the contents of your application.