TxCAN Membership Form
College - University - School District - Business - Individual - Foundation

We are so glad you are here! Please tell us a little about yourself.

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* 1. How would describe yourself?

I am representing College or University.

I am representing School or School District.

I am representing a Business.

I am joining as an individual.

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* 2. Please tell us a little about yourself.

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 3. Please provide your organization contact information.

Department (if applicable)

College / Business / School / School District

Mailing Address

Mailing Address 2

City/Town

State/Province

ZIP/Postal Code

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* 4. How would you like to get involved with TxCAN. Please check all that apply.

Volunteer with TxCAN or Partner Organizations

Attend Events

Donate

Provide staff volunteers for TxCAN or other College Access Partners

Sponsor events or special initiatives

Attend events to learn more about college access

Other (please specify)

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* 5. We will include logos in some of our promotional materials. If you would like us to consider using your logo, please upload a hi-res image file.

GIF, JPEG, JPG, PNG file types only.

Choose File

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* 6. If you would like us to include other staff members on our mailing list, please type their names and email addresses below.

They can also individually use the newsletter signup form on our website.

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* 1. How would describe yourself?

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* 2. Please tell us a little about yourself.

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* 3. Please provide your organization contact information.

Question Title

* 4. How would you like to get involved with TxCAN. Please check all that apply.

Question Title

* 5. We will include logos in some of our promotional materials. If you would like us to consider using your logo, please upload a hi-res image file.

Question Title

* 6. If you would like us to include other staff members on our mailing list, please type their names and email addresses below. They can also individually use the newsletter signup form on our website.

* 6. If you would like us to include other staff members on our mailing list, please type their names and email addresses below.

They can also individually use the newsletter signup form on our website.