CCID Membership Application
 

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We welcome your college becoming a member of CCID.

A new membership fee structure went into effect July 1, 2009. Should your institution join during the year, membership dues are pro-rated.

If you are interested in applying for CCID Membership, please complete the form below and we will send the application to you by email. If you have any questions, please call the CCID Executive Office, 319-398-1257 or 319-398-7622.

REQUEST FOR CCID MEMBERSHIP APPLICATION

   
First Name:
Last Name:
Title:
Institution:
Address:
City:
State:
ZIP:
Country:
Phone:
Email:
Institutional web site address :
   
Statement of Interest: (please describe in 200 characters why you are seeking CCID membership)
   
How did you learn about CCID?
   
 
 
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