2014-15 Membership Contract and Invoice Your Institution * = required Institution * Select an Institution -- Not Listed (enter manually) -- Albertus Magnus College Fairfield University Sacred Heart University The Catholic University of America Barry University Benedictine College (KS) Saint Catharine College (KY) Loyola University New Orleans Our Lady of the Lake College Xavier University of Louisiana Assumption College Hilbert College Manhattan College Siena College Belmont Abbey College University of Mary John Carroll University Walsh University DeSales University Cabrini College King's College La Roche College La Salle University Rosemont College Saint Francis University (PA) University of Scranton Aquinas College (TN) Christian Brothers University University of the Incarnate Word St. Edward's University Gonzaga University Alverno College Marian University(WI) St. Norbert College Mercyhurst University Providence College Saint Michael's College Saint Martin's University Seattle University Marquette University Viterbo University Spring Hill College Loyola Marymount University University of San Francisco Saint Mary's College of California Thomas Aquinas College Calumet College of Saint Joseph Marian University (IN) Saint Mary's College (IN) Bellarmine University Thomas More College Mount St. Mary's University (MD) College of the Holy Cross Stonehill College Aquinas College Saint Anselm College Georgian Court University Canisius College Niagara University St. Bonaventure University University of Dayton Lourdes University Mercy College of Ohio Xavier University (OH) University of Portland Carlow University Chestnut Hill College Mount Saint Mary's University (CA) University of San Diego Santa Clara University Saint Leo University Chaminade University DePaul University Lewis University Dominican University (IL) Holy Cross College Saint Joseph's College (IN) Notre Dame of Maryland University Merrimack College Elms College College of Saint Benedict/Saint John's University The College of Saint Scholastica St. Catherine University Avila University Fontbonne University Carroll College Creighton University Caldwell University Saint Peter's University Fordham University Iona College Le Moyne College College of Mount Saint Vincent The College of Saint Rose St. John's University-New York Mount Carmel College of Nursing Notre Dame College Ohio Dominican University Franciscan University of Steubenville Gwynedd Mercy University Holy Family University Mount Aloysius College Neumann University Saint Vincent College University of St Thomas (TX) St. Mary's University (TX) Marymount University (VA) Mount Mary University Dominican University of California Marymount California University Regis University Loyola University Chicago University of Notre Dame Saint Mary-of-the-Woods College Newman University Loyola University Maryland Anna Maria College Boston College Emmanuel College Regis College (MA) University of Detroit Mercy Saint Mary's University of Minnesota University of St. Thomas (MN) Saint Louis University University of Great Falls Felician College Mount St. Joseph University Alvernia University Duquesne University Gannon University Saint Joseph's University Villanova University Salve Regina University University of Dallas Mount Saint Mary College (NY) St. Thomas Aquinas College (NY) St. John Fisher College Molloy College University of Saint Francis (IN) Benedictine University Mesa Newman University UK State * Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Country * Select Country United States United Kingdom Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe I authorize the $1500 membership fee. * Yes, we will attend the 2014 Puerto Rico Catholic Colleges Recruitment Program and are submitting the $600 registration fee. Yes, we will attend the optional St. Thomas, US Virgin Islands visit day and are submitting the $132 airfare fee. Name of Representative Email of Representative Job Title of Representative 2014 Annual Catholic Colleges Reception Sponsorship Yes, we would like to be a sponsor for the 2014 Annual Catholic Colleges Reception during the Indianapolis NACAC conference. A National CCAA board member will follow up shortly with more details. Please check off at which level you would like to sponsor: $5000 Platinum Level $3000 Gold Level $1500 Silver level I would like to sponsor but I do not know at which level at this time. Please have a National CCAA board member follow up with me shortly. Name of Sponsorship Contact Email of Sponsorship Contact Job Title of Sponsorship Contact Please complete next fields to be included in our distribution list for National CCAA updates and to sign this contract. Primary Contact * Contact Name * Contact Title * Contact Email * Contact Phone Number * Second Contact Contact Name Contact Title Contact Email Contact Phone Number Third Contact (optional) Contact Name Contact Title Contact Email Contact Phone Number After you click "Submit Contract," you will receive an order confirmation if your contract was submitted successfully. DO NOT proceed with completing the credit card authorization form. You will receive an invoice in 5-7 business days. Inquiries Contact Contact Name Contact Title Contact Email Contact Phone Number This is a binding agreement to enroll as 2014-15 National CCAA members with website participation. Authorized by: Authorizing Contact * The authorizing contact is the same as the primary contact Contact Name * Contact Title * Contact Email * Contact Phone Number * Please note: After you click "Submit Contract" below, you will be redirected to the next page to enter in your credit card information. If you do not wish to pay by credit card, do not complete the next page, but simply click "Submit Contract" below and an invoice will be emailed to the primary contact in the next 2-3 days. Important: A Paypal account is not needed to submit credit card payment. The only requirement is a valid Visa or Mastercard. Membership dues to The National CCAA are non-refundable.