Questions marked with a * are required
Hello,
Please fill out the form below. It will take up to 1 week to process your application. Upon acceptance, you will be emailed links (if applicable) to put up on your website that are marked to ensure your organization gets credit for orders. You will also be sent an option to receive Announcements Sample packs to distribute to your members or classmates.
Your Contact Information
Your First & Last Name
*
School (Please do not abbreviate)
*
Organization Name
*
Street Address
*
Street Address 2
City
*
State
*
Zip
*
Email Address
*
Confirm Email Address
*
phone 1
*
phone 2
Website Address
1.
Date of upcoming graduation
*
Month
Day
Year
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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31
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1
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148
149
150
2.
Affiliate Member Type
Greek Organization
Honor Organization
Degree Specific Organization
Band
Other School Organization
Individual Student
Sports
3. How many graduating students will you be able to reach each semester or graduating season
0-25
25-50
50-100
100-150
150-250
250+
Spring
Fall
Summer
Last Quarter
4.
How will you reach other students?
Organization Website
Departmental Website
Personal Webpage
Email-membership based
Email-non membership
Campus Poster
Distribute Sample Envelope directly to other graduates
5.
Additional Comments or Suggestions
6.
Do you agree to our affiliate Terms?
Here are Affiliate Terms and Agreement.
Click Here to view Affiliate Terms
Yes. I accept your affiliate agreement.
No. I do Not accept.
7. Payee Information
Payee Name
*
Street Address
*
Street Address 2
City
State
*
Zip
*
Email Address
*
phone 1
*
phone 2
*
FEIN if you are an organization or business (If you do not have an FEIN number just enter 0)
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