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CHEA Member Update

Please update your contact information for transmittal of your annual CHEA membership dues Invoice. Because your institution is a member of CHEA, your President/Chancellor receives publications from CHEA via e-mail. Please help us keep our records current by indicating the name and e-mail address of your institution's President/Chancellor as well as any other person selected to receive these communications:

Institution Name:
CHEA Invoice Number:	*required (found on mailed invoice)
President/Chancellor:
Title:
E-mail Address:	*required
Phone:	*required

Other Recipient1:
Title:
E-mail Address:

Other Recipient2:
Title:
E-mail Address:

Other Recipient3:
Title:
E-mail Address:

Name of Individual Completing Form
Date

If you have any questions, contact CHEA at 202-955-6126 or membership@chea.org

		One Dupont Circle NW • Suite 510 Washington DC 20036-1135 (tel) 202-955-6126 (fax) 202-955-6129 chea@chea.org Last Modified: 5/20/2011
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