Affiliate Request for Complimentary ASCD Memberships
The president of each affiliate is entitled to award two complimentary ASCD memberships per year (July 1 – June 30) to build influence, recruit members, or develop and maintain public relations.
Required
Affiliate:
Requested By:
(Affiliate President or Executive Secretary/Director)
E-mail:
Complimentary ASCD Membership Recipient
First Name:
Last Name:
Organization:
Address 1:
Address 2:
City:
State/Province
Please Note: State/Province and Zip/Postal Code are used for U.S. and Canadian addresses only. Leave blank for all other addresses.
Zip/Postal Code:
Country
Telephone:
