CASE - Request for Membership Information

Charles Bacarisse—Vice President for Advancement

Houston Baptist University—Houston, Texas

United States

Membership

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You should receive your packet within 5-7 business days.

* Required Fields

First Name	*
Middle Initial
Last Name	*
Title
Organization Name	*
Street Address	*

City	*
State/Province	*
Postal Code (if US include Zip +4):	*
Country
Phone
Fax
E-mail	* (CASE does not release e-mail addresses)
Organization Type	*
Institution Full-Time Equivalent Enrollment (FTE)

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