Partners Circle Form

Address*

Phone Number*

Area Code Phone Number
E-mail*
Partnership Information
Partnership Annual Contributions:*

Executive Partners Circle: $3,600 (included fees for all programs throughout the year, excluding tuition for CHS and CGS)Partner: $1,200
I/we would like to make our Partnership contribution in….*

One-time paymentTwo equal amounts (first payment now and second in six months)12 equal payments of (on the first of every month)
Security Fee:

$200
Total to be charged today:*

$
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment*

Credit Card Paypal Payment Installments

Postal / Zip Code

Country

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Partnership Information