b e c o m e . a . c o - s p o n s o r

Join Panel 2010 on Education
Become a Co-Sponsor

Membership to the Council for Global Education and Global Panel 2010 is free. However, to continue to provide meaningful services, we also rely on the financial support and contributions of our Co-Sponsors. To become a Co-Sponsor, please fill out this form and submit it electronically or feel free to contact us for more inforamtion.

Mr./Ms.
Name	*
Institution
Position
Address 1	*
Address 2
City	*
State/Province	*
ZIP/Postal Code	*
Country	*
Telephone
Fax
Email
Web address

Please indicate at which level you would like to participate

	Individual Affiliate ($30)
	Institutional Affiliate ($295)
	Supporter ($296 to $999)*
	Benefactor ($1,000 to $9,999)*
	Patron ($10,000 to $49,999)*
	Host ($50,000 or more)*
	* Amount of donation:
	In-Kind Support - eg. Providing air transportation, awards for outstanding educators, equipment, consulting and design services, etc.
	Please describe:
Please indicate how you wish to pay
	Check (U.S. dollars only)
If making a donation by check: PRIOR to clicking SUBMIT, please print out this form and enclose it with your donation. Checks should be made out to "The Council for Global Education." For our mailing address see Contact Information.
	Credit Card
If making a donation by credit card: AFTER clicking SUBMIT, you will be able to click on a link to the Network For Good to make a secure credit card donation to the Council for Global Education.
Please indicate your preference
	Institutional Affiliates, Supporters, Benefactors, Patrons, and Hosts will automatically receive a printed certificate in recognition of their financial support. If you DO NOT consider a certificate necessary, please check this box.
	The name and country of residence of all Co-Sponsors will appear on the online List of Co-Sponsors and Members. If you DO NOT wish your name to appear on this list, please check this box.