|
*** IMPORTANT – PLEASE READ FIRST ***
If you have created a new PCACAC Website account since July 1, 2007 (including visitor accounts),
DO NOT use this form. If your personal information, including institution, last name, email
address, etc. has changed, DO NOT use this form. Please
login and modify your existing account
using the information update tool.
If you have difficulty logging in, use the
membership check
and password recovery tools to find your
information. In any other circumstances, contact the
postmaster@pcacac.org to recover your information. Thank you.
PCACAC Staff
****************************************************************************************************
Potomac & Chesapeake Association for College Admission Counseling
2010-2011 Membership Application and Official Invoice
Membership year October 1, 2010 - September 30, 2011
Dues are not prorated.
*Please fill in your information as it will appear on name badges and official reports.
If your institution is not listed, you MUST DISABLE your pop-up blocker, then select "Institution or Organization not Listed"
from the list below.
|
|
Not Listed
|
Prefix
|
First Name
|
MI
|
Last Name
|
Suffix
|
|
*Nick Name or Preferred name for Name Badges (If you have no Nick Name re-type your first name only)
|
Job Title
|
Gender?
|
Are you a member of NACAC?
|
Please select your preferred method of payment (If you chose a visitor membership, please select the pay via check option below).
OPTIONAL: To upload an image to be shown in the members list, select a file
before creating your account below.
Filename:
|
