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COE Subscription Package
Product Selection:
Quantity
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Please Choose a C.O.E. Subscription Package
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Package A ($500 - Non-Members 1-year subscription)
Bill To Address:
First Name
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Middle Initial
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Last Name
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Institution/Company/Organization:
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Program (if applicable):
Educational Opportunity Centers
McNair Post-baccalaureate Achievement Program
Student Support Services
Talent Search
Upward Bound
Upward Bound Math/Science
Veterans Upward Bound
GEAR Up
Other:
Other:
Please select below if you are purchasing a new subscription package or renewing your existing subscription package.
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I am renewing an existing subscription package
This is a new subscription package
Address Line 1
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Address Line 2
Address Line 3
City
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State
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Zip
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Phone
Email Address
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Payment Method (you may pay by Credit Card or Purchase Order)
Credit Card
Discover
Visa
American Express
Master Card
Card Number
Expiration
Verification Number
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Purchase Order Number:
Purchase Order Date:
Purchase Order Amount:
Enter the word in the image
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