CCIC Corporate Affiliate Membership Program

View or download 2024 Benefits Brochure

(* Denotes Required Fields)

Company Information
Company Name: *
Address: *
City/Town: *
State: *
Email: *
Phone: *
Zipcode: *
Company Web Address: *
Description of Company for Webpage: *
Business category for website and directory: *
Proposed campus audience: *
Membership Benefits Contact
CAP Members are always welcome to reach out to CCIC with their ideas. In addition, CCIC will periodically contact you to make certain you are fully accessing all of the benefits available with your membership. For the fields below, please indicate the appropriate company contact for each membership benefit:
Annual mailing to campus reps (name and email): *
Annual Member Forum Request for Proposal (name and email): *
Company logo (name and email): *
Company webpage on CCIC’s site (name and email): *
Digital Quarterly Membership Directory Subscriber (name and email): *
Content for publications (name and email): *
Membership renewal (name and email): *
Digital Directory Contacts
CCIC’s Digital Membership Directory, a publication of institutional profiles and administration contacts for our member institutions, will be sent out 3 times annually. Each CAP Member will have a section in which to showcase their business. The section will include up to 4 contacts. Below, please indicate the applicable contact information:
Contact #1:
Name: *
Professional Title: *
Email: *
Phone: *
Contact #2 (optional):
Name: *
Professional Title: *
Email: *
Phone: *
Contact #3 (optional):
Name: *
Professional Title: *
Email: *
Phone: *
Contact #4 (optional):
Name: *
Professional Title: *
Email: *
Phone: *
Payment
Invoicing Type: *
If not yourself, please indicate to whom we should email the invoice (name and email):

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