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Center for Academic Integrity

CAI New Membership Form

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Membership Type:

Institutional dues cover membership for one (1) primary representative, and four (4) secondary contacts.
Additional contacts for the categories above, may be added for $25.00 each.
Organizational/Affiliate dues cover membership for one (1) representative.
Individual dues cover membership for one (1) individual.

Member Information

First Name
Last Name
Position
Address Line 1
Address Line 2
City
State
Province (if outside U.S.)
Postal Code
Country
Phone
FAX
Email

Secondary Members (enter up to four):

Secondary Member #1

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First Name
Last Name
Position
Address Line 1
Address Line 2
City
State
Province (if outside U.S.)
Postal Code
Country
Phone
FAX
Email

Secondary Member #2

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First Name
Last Name
Position
Address Line 1
Address Line 2
City
State
Province (if outside U.S.)
Postal Code
Country
Phone
FAX
Email

Secondary Member #3

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First Name
Last Name
Position
Address Line 1
Address Line 2
City
State
Province (if outside U.S.)
Postal Code
Country
Phone
FAX
Email

Secondary Member #4

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First Name
Last Name
Position
Address Line 1
Address Line 2
City
State
Province (if outside U.S.)
Postal Code
Country
Phone
FAX
Email

Additional members may be added for $25 each. Please click here

Additional Member #1

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First Name
Last Name
Position
Address Line 1
Address Line 2
City
State
Province (if outside U.S.)
Postal Code
Country