STUDENT MEMBERSHIP APPLICATION

Any full-time matriculating undergraduate or graduate student in good standing with his/her institution shall be eligible for a Student Membership and the privilege of one (1) voting member.

REPLACEMENT: If any designated member leaves the organization that paid for the membership, the organization can assign a new person to take over the membership.

PAYMENT INFORMATION

Student Membership fee - $85* - Annually (Fiscal Year: July 1 - June 30)
* Dues are prorated quarterly: July - September 100%, October - December 75%, January - March 50%, April - June - 15 months for 12 month price. If you do not wish to take your prorated discount, (if appropriate) a dues credit will not be issued. Proration is available for new memberships only. If you do not take your prorated discount, (when applicable) a dues credit will not be issued.

Dues must be paid in full within 60 days (after ACCED-I has received the membership application) or membership will be suspended. Please Note: A purchase order does not constitute payment in full. Enclosing your dues payment with your membership application allows no interruption in member benefits.

ACCED-I dues are not deductible as a charitable contribution for federal income tax purposes but may be partially deductible as a business expense.

ACCED-International Federal Identification Number: 84-1023816

Accepted Payment Methods:

Check - Mail to ACCED-International, 8037 Campus Delivery, Fort Collins, CO  80523-8037

Visa/Mastercard - Once your registration is received, you will be contacted via phone for credit card number.

Please completely fill out the form below then click on the "Join" button.

Institution

Institution Type:

Is your Institution Public, Private, or Both?

Fulltime Undergraduate Students at Institution:

Fulltime Graduate Students at Institution:

Primary Contact

Please provide the following contact information:

Name
Title
Department
Address (cont.)
City
State/Province
Zip/Postal Code
Country
 Phone
FAX
E-mail
Department Website

If you have an e-mail address you will automatically be subscribed to the Association's LISTSERV.
 No I do not want to be subscribed to the Association's LISTSERV

Primary Focus: Please check either Conferences, Events or Both. Also, please select what you are responsible for within the category.

Conferences (hold the Ctrl key for multiple selections)


Events (hold the Ctrl key for multiple selections)

Both

Department Profile - To whom do you report?

Job Description:

Personal Profile: This information is used in the annual membership statistical summary.

Gender:

Certifications:

Education:

Ethnic Origin:

Years in the Conference/Events Profession:

Current Salary Range (Based on Full-Time Employment. This information is strictly confidential and is used in the annual membership statistical summary):

Did someone refer you to ACCED-I whom you wish us to thank?

Payment Method:

Please invoice

I would like to pay by Visa/MasterCard. Please call me for credit card information