eLearning Existing Members — CalSAC

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eLearning Existing Members

For existing eLearning members, we require some basic information to ensure that we are able to correctly identify that the member is in the system. If the registered member is not responsible for invoices, please fill out the contact information for the invoice recipient.

Also, if your organization is unable to pay by June 30th, please add that to the Notes field. As long as this form is filled out by June 30th, we will still accept payments for existing eLearning members up to July 13th.

Registered Name

First Name

Last Name

Registered Email Address

Contact Name

Name of the individual who will receive the invoice

First Name

Last Name

Contact Email Address

Email address for the individual who will receive the invoice

Contact Phone Number

Notes