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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
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Send questions or comments to
info@masspac.org. |