Individual membership is only $5.00 per year.
Institutional membership is only $25.00 and can include up to five members.
Name__________________________________________________________________
Institution_______________________________________________________________
Address_______________________________________________________________
______________________________________________________________________
State_____________ Zip____________________
Phone___________________________________
Email address ___________________________________________________________
Payment in Cash_________ Check__________
Billing Address (if different from above):
_________________________________________
_________________________________________
_________________________________________
Please give this form to one of our board members or mail to Kimberly Turk, Vice President, College Transfer Programs, Caldwell Community College and Technical Institute, 2855 Hickory Boulevard, Hudson, North Carolina 28638.