TACSC Membership Registration Form – SCHOOL

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Please complete the information below to become a member school!

Please complete the form below, print and mail with payment to the TACSC Office: TACSC Office, 6550 Waverly Road, Martinez, CA 94553

Please select one choice:*
- YES! Please sign up our school as a PREMIUM MEMBER of The Association of Catholic Student Councils. We will mail payment of $99.
- YES! Please sign up our school as a BASIC MEMBER of The Association of Catholic Student Councils. We will mail payment of $49.
- No, please do not sign up our school at this time but please keep us on your mailing list for all future communications.
Name of School*
Address*
Street AddressAddress Line 2CityStateZip Code
Phone*
School Email*
Enter EmailConfirm Email
Please enter the email address MOST FREQUENTLY checked by the school. All correspondence will be sent to this email address.
Diocese*
Principal's Name*
FirstLast
Principal's Email*
Moderator or Faculty Advisor *
FirstLast
Moderator or Faculty Advisor's Email*