Institutional Membership Renewal

Institutional Membership renewal

Institution Overview

Institution Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone Number

(###)

###

####

Designated Primary Board Member for MIEC

Name

First Name

Last Name

Title

Phone Number

(###)

###

####

Email

Designated Alternate Board Member

Title

Phone Number

(###)

###

####

Email

Instructions

After submitting the form, please send the MIEC Membership check ($2000) to:

Maryland International Education Consortium

C/O Jolanta Coffey

300 W Pratt Stree STE 300

Baltimore, MD 21201

You will be contacted by MIEC so we can update your institution’s information on the MIEC’s website and other materials. Any questions about the MIEC membership should be addressed to info@studymaryland.org. Thank you for renewing your membership, we look forward to working with you again!