MARCUMS 2019-2020 Membership Information
This form is for online payment only. Please fill out the requested information to complete your MARCUMS registration. This form should only be filled out by the individual making payment for the individual or institutional membership. Additional members under an institutional membership should fill out the "Pay by Invoice" form. Membership is valid from July 1, 2019 - June 30, 2020.
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Membership
Membership Type
*
Individual Membership $40 (1)
Institutional Membership $70 (up to 4 members)
Renewal Type
*
Renewal
New Member from a Renewing Institution
New Member from a New Institution
How would you prefer to receive your MARCUMS Newsletter?
*
Digital - PDF through Email
Hard Copy - USPS First Class
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Contact Information
Name
*
First Name
Last Name
College/University Name
*
Department
*
Job Title
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Work Phone Number
*
-
Area Code
Phone Number
Fax Phone Number
-
Area Code
Phone Number
Cell Phone Number
-
Area Code
Phone Number
Alternate Email
example@example.com
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MARCUMS Survey
Institution Type
*
Private
Public
Department Type
*
Mail Only
Print Only
Print and Mail
Other
Student Population
*
Employee Population
*
Mail Type
*
Student Mail Only
Bulk Mail Only
Campus Mail Only
Student, Bulk and Campus Mail
Other
Mail Room Type
*
Centralized Student Mail
Resident Hall Mail
Other
Interest in becoming involved in MARCUMS
*
Yes
No
Contact me
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Reference Information
How did you hear about MARCUMS?
*
I am a long standing MARCUMS Member.
MARCUMS Member (Sponsor)
NACUMS Member
Other
Sponsor Name
First Name
Last Name
Sponsor College/University
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Payment
Membership Credit Card Payment
*
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( X )
Individual Membership (1)
$
40.00
Institutional Membership (up to 4)
$
70.00
Subtotal
$
0.00
Shipping
$
0.00
Total
$
0.00
Submit
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