Advisory Council:

 

Advisory Council Application Form

You may join the Advisory Council either of two ways:

U. S. Mail -- If you prefer, click here for a printable form that you can fill out and mail to NECTFL.

Electronic Submission -- By filling out and submitting the form below, you will send us your application to join the Advisory Council. Please send your payment separately (see below).

2008 Northeast Conference Year

July 2007 - June 2008

Please provide the following information:

Organization/Institution:
Address:
Address:
City:
State:  Zip:
Membership Level:
Representative or Contact:  
Mr. Ms.
Name:
Title/job/position:
Home Phone:
Work Phone:
FAX:
E-Mail:
Previous Contact Person or
Representative (if applicable)
 
Mr. Ms.
Previous Name:
 
Method of Payment:
Comments or
questions:
Click to submit your request. Click to clear your request and start over. After submitting your information, you will see a confirmation of your request which you may print if you need a copy of your submission.

Please send payment (due by
December 31, 2007) to:

NECTFL Advisory Council
Dickinson College
P.O. Box 1773
Carlisle PA 17013-2896

Or, for credit card payments,

Phone us: 717-245-1977
FAX: 717-245-1976

Thank you for your prompt payment; it saves us time and money!


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