ACUMS - Membership Application Form

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MEMBERSHIP APPLICATION

Full Name: *

Position / Title:

Institution: *

Address 1:

Address 2:

City: State: Zip:

Phone Number:

Fax Number:

E-Mail: *

Mail Services Website:

Type of Institution:
Choose the appropriate option that most closely matches the description of your school.

Private University System with Multiple Schools
Public University System with Multiple Schools
4-Year Private College
4-Year Public College
2-Year Community College
Graduate or Professional School
Private Preparatory School
Other

Your School's Demographic Information:

# Undergrad Students:
# Graduate Students:
# Faculty & Staff:

Mail Services Staffing:
Full time mail services employee equivalent based on
35/40 hr week.

# Administrative:
# Union:
# Non-Union, Non-Admin:
# Students:

Total Due: $35
Note: This fee is the annual membership fee for the fiscal year ending June 30, 2009. Fill out this form for each individual who will join the Association.

* Required Fields