Student Application

It's easy to join - just complete this Membership Application and we'll send an invoice for your dues.

Name:
 
Company Name:
 
Company Type :
 
Job Title:
 
Company Address
 
City:
 
State / Zip:
  /
Business Phone:
 
Fax:
 
E-mail:
 
Web Address:
 
   

Members are assigned to one of the following committees. Select your top 3 choices from this list.

ADDY® Awards and Banquet
Communications (PR/Creative Council/Logo Store)
Fund-raising (Auction and Sponsorships)
Education (Scholarships/High School Job Shadow/Diversity Programs)
Membership (Retention and Recruitment)
Programs (Speakers/Hospitality)

Membership Fees
Student Affiliate:
  No Fee
   
Individual:
  1 = $70
  2 = $140
   
Individual Gold:
  1 = $185
(includes all meals prepaid)
  2 = $370
   
Corporate/Business ($60 each):
  3 = $180
  4 = $240
  5 = $300
  6 = $360
  7 = $420
  8 = $480
   
Corporate Gold ($175 each):
  3 = $ 525
(includes all meals prepaid)
  4 = $ 700
  5 = $ 875
  6 = $1050
  7 = $1225
   

Club year runs from July 1 through June 30

AdFed of E.C.I. Accepts Visa and Mastercard.
Please Contact Anne Condran, Executive Director, for credit card payments. (765-289-3676)

Make checks payable to:
AdFed of E.C.I.
P.O. Box 1641
Muncie, IN 47308