APCA School Membership

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APCA MEMBERSHIP APPLICATION:

School Name:

School Advisor:

School Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Programming Board
Facebook Page:

Programming Board Twitter:

% of Budget spent on:

Comedy:	%
Movies:	%
Novelties:	%
Lectures:	%
Music:	%
Other:	%

Student Population:

Demographics:

Public:	Private:
Commuter:
4-year:	2-year:
Tech/Trade:
Activities Budget:	$

Conference Cooperative Buyer:

Student Activities Board Members	Position	Areas **	Class

** Areas (Separate areas by a comma, ex: Student Government, Concert Chair = Cn, Sg)

A - Advisor N - Novelty Ch - Children's Programming Sg - Student Government C - Comedy R- Residence Life As - Authorized to sign contracts		F - Film Cn - Concerts L - Lecture Mt - Multicultural Pr - Promotion M - Music Ng - Authorized to negogiate contracts
All - Authorized to deal with and negotiate contracts in all areas

MEMBERSHIP:
(Your APCA membership covers all organizations on your campus for the term of membership, but applying organization will remain official contact.)
Membership is $299.

Credit Card Orders are sent via a secure server.

Payment Amount:

Card Type:

	Check will be mailed.
	Purchase Order

Card Number:

Exp. Date:

/ Ex. 2026 (MM / YYYY)

Name on Card:

CVV2 Number:

What is a CVV2 Number?

Billing Address:

Billing City, State:

Billing Zip:

FTE Card Applicants:
(Note: FTE discounts are only applicable to onsite purchases made at APCA conferences.)

FTE Cards

To encourage smaller school programming, the APCA has also begun the voluntary "FTE" (full time enrollment) discount card program. Based on the full time enrollment status of the campus, a school may receive between 3% to 7% off the listed price of a participating artist or other attraction. This discount is in addition to any other cooperative or onsite discounts, but the attraction must be booked on-site. The breakdown of the school population full time enrollment (FTE) discounts are as follows:

	9,900 - 5,000	FTE Discount 3%
	5,000 - 3,000	FTE Discount 5%
	Below 3,000	FTE Discount 7%

These programs are completely voluntary. A listing of all associates offering these discounts as well as the schools accepted for the FTE discount will be published and distributed at the national conference registration. All associates participating in either or both programs will be given signs to place in their booths indicating their participation. Schools accepted to receive either discount will be given FTE cards to present to participating associates when filling out cooperative buying forms.

# of Full Time
Enrolled Students:

Applicable discount:

3% 5% 7%

Faculty confirming full time enrollment of school:

Phone number of school registrar's office:

I AGREE, that I have read and agree to abide by the
APCA registration and membership policies
as outlined on this web site.

This box must be checked in order for the application to be accepted.

Applicant acknowleges that the above information is true and that they have authorization to use above credit card. Applicant has read and understands all APCA membership policies and agrees to abide by them.

APCA Contact Information: Phone: 1-800-681-5031 • Fax: (865) 908-7104

Mailing Address:
APCA
P.O. Box 4340
Sevierville, TN 37864