***Important*** If you have created a new PCACAC Website account since July 1, 2007 (including visitor accounts), please DO NOT use this form. If your
personal information, including institution, last name, email address, etc... has changed please DO NOT use this form. Please
login and modify your existing account using the
information update tool. If you have difficulty logging in please use
the membership check and
password recovery
tools to find your information. In any other circumstances, please contact the postmaster@pcacac.org
to recover your information. Thank you PCACAC Staff
Potomac & Chesapeake Association for College Admission Counseling
2008-2009 Membership Application and Official Invoice
Membership year July 1, 2008 - June 30, 2009
*Please fill in your information as it will appear on name badges and official reports.
If your institution is not listed, you MUST DISABLE your pop-up blocker, then select "Institution or Organization not Listed"
from the list below.
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Prefix
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First Name
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MI
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Last Name
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Suffix
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*Nick Name or Preferred name for Name Badges (If you have no NickName re-type your first name only)
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Job Title
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Are you a member of NACAC?
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Please select your preferred method of payment (If you chose a visitor membership, please select the pay via check option below).
OPTIONAL: To upload an image to be shown in the members list, select a file
before creating your account below.
Filename:
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