ALUMNI MEMBERSHIP PROGRAM

Registration Form
  *Required Fields
*Name __________________________________________________________
Title __________________________________________________________
Organization __________________________________________________________
*Mailing Address __________________________________________________________
*Mailing Address (cont'd) __________________________________________________________
*City, State, Zip __________________________________________________________
*Phone __________________________________________________________
Fax __________________________________________________________
*Email
 		 __________________________________________________________
 your membership confirmation will be sent to this email address
*City/State of Your Training _____________________________________not sure of location?____
*Month/Year of Your Training _____________________________________not sure of date?_______

Alumni from workshops prior to 2001 should contact The Center at alumni@tgci.com
  My Membership account has expired.
Please re-activate my Membership for:		 My Membership account is still active.
Please renew my Membership for:
  1 year for $375
2 years for $575
 3 years for $725		   1 year for $250
 2 years for $450
 3 years for $595

Please indicate method of payment:

Check #_________________     or   Purchase Order #______________________
 payable to The Grantsmanship Center

Credit Card #___________________________________Expires _______________
 Visa or Mastercard only

Name on Card (PLEASE PRINT)_____________________________________________

Signature____________________________________________________________

Please print out this form and send with payment to:

The Grantsmanship Center Membership Program
P.O. Box 17220
Los Angeles, CA 90017

Credit card orders may be faxed to (213) 482-9863

Questions?  E-mail us at alumni@tgci.com or call (213) 482-9860