WHAT DOES THE PARTNERSHIP MEAN TO YOU? HEP can change the current negative trends in support for higher education and help move our universities into the twenty-first century stronger than ever. HEP will provide a base to unite our constituency to ensure that our universities remain strong and viable, enabling them to provide quality education for generations to come.

I. Higher Education Partnership (HEP)

A. I would like to join as a Faculty/Staff Member of HEP for $1/month ($12/year)* JOIN THE "A" TEAM!

B. I would like to join as an Alumni/Friend Member of HEP for $25/year*

C. I would like to become a Patron Member of HEP for $10/month ($120/year)*

D. I would like to join as a Student Member of HEP for $5/year*

E. I would like to be a member for $_____ ($120+)*

Payment Method: Check Payroll deduction Bill me. (Make checks payable to HEP)

GENERAL INFORMATION

Supporters are asked to consider joining HEP by completing and mailing/faxing this form to PO Box 761, Montgomery, AL 36101-0761. Please make check out to HEP.

Name ______________________________________ Address _____________________________________

City _______________________________________ State/Zip _____________________________________

Phone _____________________________________ Fax _________________________________________

Signature __________________________________ SS# (For payroll deduction only) ___________________

Total amount per pay period ___________________ University with which I am affiliated ________________

Name of Recruiter____________________________________________________________________________