Institutional Membership

This form is for New Membership Applications/Renewals/Requesting Invoices

*If using a card as payment, please confirm the limit will cover the amout due prior to submitting this form. **

** This form can be used to request an invoice,  complete all information except the payment information.  Leaving the payment information blank will prompt our office to send an invoice to the email provided. **

Questions? Contact Vanessa Ramirez at vanessa.ramirez@coenet.org

 

As of Jan 1, 2022 the Institutional Membership base rate increased by $175.

 

Number of TRIO Programs

Bill To Address:

Select Program: (Please only select the program(s) you CURRENTLY have funded on your campus.  Leave blank if you do not have any TRIO Programs currently on your campus).
 

If Paying by Credit Card: (leave blank if requesting invoice)

If Paying by Purchase Order: (leave blank if requesting invoice)

If Paying with A Check:


Complete this form, print and mail it along with your check payment to:
 
Council for Opportunity in Education
P.O. Box 742282
Atlanta, GA 30374