Introductory Membership (For Chartering Entities)

NACSA INTRODUCTORY MEMBERSHIP
MAIL-IN FORM

NACSA is moving to a uniform membership year and a new dues structure beginning July 1, 2003.  Between now and then, chartering agencies who are interested in NACSA products and services and are not already Members may join at the special Introductory Membership rate of $300.  This rate allows full participation in NACSA, including opportunities to help guide program development and discounts on all NACSA products and services.  The Introductory Membership is good through June 30, 2003 .  After that time, Introductory Members will have the option to join NACSA as regular Members.  Regular membership includes voting privileges at our 2003 Annual Meeting.

If you would like an Introductory Membership, complete the information below and submit with a check for $300 made out to NACSA, 1125 Duke Street, Alexandria, VA, 22314-3513.

If you are interested in establishing full NACSA Membership now, please see our regular membership form available in the mail or through the Join Us section of our website. 

NACSA Introductory Membership Application Information
Charter-Authorizing Agencies Only

Contact Name & Title

____________________________________________________________________________

Institution

____________________________________________________________________________

Address

____________________________________________________________________________

____________________________________________________________________________

Phone ___________________________   Fax _______________________________

Email ___________________________  Website _____________________________

# Charter Schools (operating in 2001-02) _____     # Campuses ______  

Total Enrollment in Charters  _____________

Mail with a check for $300 made out to NACSA,
1125 Duke Street, Alexandria, VA 22314-3513

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