MEMBERSHIP ENROLLMENT FORM
July 1, 2015 – June 30, 2016
Name of Institution: _________________________________________
Department URL: _________________________________________________
City: _______________________________ State: ______
Contact Person: ___________________________________________________
Telephone Number: ____________________ Fax: ____________________
Email Address: __________________________________________________
If there are additional individuals from your institution who would
like to be on the CHERC list of member participants, please list
them and their contact information on the back of the form.
There are no additional fees for added member participants.
Membership Fee: $125
Please submit via U.S. mail with your membership fee
made payable to Villanova University/CHERC to:
Office of Planning and Institutional Research (OPIR)
St. Mary's Hall -
Villanova University, 800 Lancaster Avenue, Villanova, PA 19085-1699
If you prefer to pay by credit card
please use our NEW Option below!
ONLINE ENROLLMENT FORM