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Consortium Ambassadors Membership Form

Yes...... I Want to Join the Consortium for Entrepreneurship Education

(Copy this form to a Word file, fill it in, and e-mail it to us at cashmore@entre-ed.org or by fax to 419-791-8922)

The Ambassadors Membership for teachers/instructors is $100 which brings:

  • Monthly email newsletters from the Consortium, identifying opportunities and success stories from other programs.
  • Opportunities to share your program ideas with others through the email, newsletter, and website
  • Two copies monthly of the new Consortium magazine, "Future CEO Stars" to be published starting this fall. (a $30 value)
  • Opportunities to use the Magazine as a Class Fund-raising Project
  • Five copies of the Consortium newsletter, "EntrepreNews & Views", to share with others
  • A special Consortium logo that Ambassadors may use on their publications and website.
  • A 20% discount on registration for the Entrepreneurship FORUM for the Ambassador and a colleague ($69 discount per person at the current rate)

I am a teacher or instructor and wish to join the Consortium. My contact information is below. (Choose from the following:)

  1. My check for $100 membership fee _____will be mailed separately,
    _______or my check for $100 is enclosed.
  2. _______Please charge my credit card for $100 membership fee
    • Number:

    • Expiration Date

    • Billing Name, Address





  3. Please bill my organization for $100. Make invoice to the attention of:



CONTACT INFORMATION:

Name:

Title:

Organization:

Address:

City:

State:

Zip code:

Phone:

E-Mail:

Web Site:


E-mail us at cashmore@entre-ed.org

Or mail this form to:

Dr. Cathy Ashmore, Executive Director,
The Consortium for Entrepreneurship Education
1601 West Fifth Avenue, #199
Columbus, OH 43212
614-486-6538, fax 419-791-8922

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