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The Committee For Academic Excellence Membership Application

Thank you for your interest in becoming a part of The Committee For Academic Excellence (CAE). Your efforts to share in the committment to building a stronger academic foundation is greatly appreciated.

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Membership Information
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Please select a membership level: *

Bronze ($10) Silver ($50) Gold ($100) Gold Plus ($250) Platinum ($500) Platinum Plus ($1000+)
My company and/or my spouse's company will match my gift More About Gifts
Please mail your company's matching gift form to the address below

Applicant Information

First Name:	Last Name:
Name of Company:
Name of Spouse's Company:
Address1:
Address2:
City:	State:	Zip:
Phone #: ()	Fax #:
Email Address: *
Profession:
Who Referred You to CAE?
How would you like your name to appear on recognition materials?
Volunteers/Services Resource List Volunteer events are an opportunity to make a difference in your community. Select any number of activities from our Volunteers/Services Resource List to volunteer: Tutoring Seasonal Campus Decorating Work on Projects At Home School Picture Day Volunteer Talent Show Committee Bake Items for Receptions/Luncheons Trim And Bundle Campbell Soup Labels/General Mills Box Tops Run Errands Teacher Appreciation Committee Campus Parent Advisory Committee School Nurse Assist Classroom Parent Office Volunteer Lunch Volunteer Library Volunteer Photography/Video Volunteer Golf Tournament Volunteer Campus Activity Volunteer Spring Fling Volunteer Trike-a-Thon Committee Classroom Volunteer Community Events Committee Christmas Program Volunteer Anniversary Committee Computer Technology/Web services
Would you like to be added to the resource list as a vendor that supplies goods and services? Yes No (If yes, a CAE representative will contact you for details)

The Committee for Academic Excellence is a non-profit organization Please make checks payable to: The Committee for Academic Excellence 6152 Delancey Station ST Suite 105 Riverview, FL 33578
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The Committee For Academic Excellence Membership Application