NATIONAL COUNCIL FOR HIGHER EDUCATION

2007 – 2008 ORGANIZATIONAL MEMBERSHIP

Please print form or download this form(83k) and return by mail.

Association: _______________________________________________________________________

Address: __________________________________________________________________________

{short description of image}City: ________________________________ State: ______________ Zip: ______________

{short description of image}Phone: ______________________________ Fax: __________________________________

{short description of image}Membership Total: __________ Internet Address/Website: ________________________

President: __________________________________________________________________________

{short description of image}Phone: Office _________________________ Home _________________________________

{short description of image}E-mail Address: ______________________________________________________________

Higher Education Institution: ___________________________________________________

GENERAL INFORMATION (Please check all that apply):
Renewing Member New Member

Organizational membership in NCHE is open to any NEA-affiliated higher education association or chapter.
$600—Organizations with over 500 members $240—Organizations with 101-200 members
$420—Organizational with 201-500 members $120—Organizations with up to 100 members

Note: Dues payments and contributions are not tax deductible as charitable contributions for federal income tax purposes.
Faculty Full–time 2–year Higher Ed
ESP Part–time 4–year Higher Ed
Academic Professional Both Other _________________
Graduate Assistant    
Administrative    
PLEASE MAKE CHECK PAYABLE TO "NCHE"AND MAIL WITH THIS FORM TO: NCHE Secretary/Treasurer
National Education Association
1201 16th Street NW Room 410
Washington, DC 20036-3290

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