MASSPACMASSPAC

Massachusetts Association of Special Education Parent Advisory Councils

 

Membership Information Parents' Desk Reference

Associate Member Application

 

Title:   O     Ms.     O     Mrs.     O    Mr.     O    Other_____________________________

First Name:  _____________________________________________Last Name:_______________________________

Agency/Organization: ______________________________________________________________________________

Address 1: _________________________________________Address 2:_____________________________________

City:________________________________State:__________Zip: _______________Website:____________________

Phone: _________________________________________E-mail: ___________________________________________

Choose a password:_________________________________(minimum 8 characters)

 

Associate Membership Categories

  

Associate members are agencies, companies and organizations that provide professional services to students and families, or they are companies that provide products and services that help and support students and families. Each level of membership provides increasing exposure to the statewide parent population. Members receive additional discounts on all advertising venues. See the itemized detail that follows form.

 

Category

 

Platinum                                                                               ____       $10,000+

Gold                                                                                       ____       $  8,000

Silver                                                                                     ____       $  5,000

Super Star                                                                            ____       $ 4,000

Star                                                                                        ____       $ 3,000

Patron                                                                                   ____       $ 2,000

Leader                                                                                   ____       $ 1,000

Sponsor                                                                                ____       $    500

Agency                                                                                  ____       $    250

                             Donation                                                                               ____       _______________

 

 

Make checks payable to: MASSPAC and mail to address noted below.

Credit card payments accepted via internet at www.paypal.com. Email recipient:  info@masspac.org

 

Thank you for your support!


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MASSPAC
Massachusetts Association of Special Education Parent Advisory Councils
P.O. Box 167, Sharon, MA 02067, 617/962-4558, info@masspac.org
Updated: September 11, 2005
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