HECSubscription



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			I wish to receive/continue to receive a FREE subscription to Higher Education Consortia magazine 3333333333'333Full Name 333333333333333Job Title 333Institution/Organization 3sssssssssssssss333Phone 333333333333331Address 333333333333333333City 33333333333333333'State 333333333333333333''Zip By providing your email address, you are giving your written permission to College Benefits Publishing, LLC to receive SUBSCRIPTION and other related information that may be of interest to you via email. You will also receive our weekly *Higher Education Consortia eNewsletter. We will not share/sell this information or use it for any other purpose. You may opt out any time in the future, including unsubscribing to Higher Education Consortia eNewsletter.* 3333333333Email Address _______________________________________________________________________________________________________ Your Job Function (as close as possible) : sss Higher Education Consortium — President/Director/Senior Manager sss College/University — Chancellor/President/Provost/Dean sss College/University — Chief Financial Officer/Vice President of Finance/Financial Senior Manager sss College/University — Human Resources Director/Human Resources Senior Manager sss College/University — Benefits Director/Benefits Senior Manager sss College/University — Purchasing Director/Purchasing Senior Manager sss College/University — Senior Manager/Director/Department Head sss Association — Senior Manager/Executive Director sss Non-Profit — Senior Manager/Executive Director sss Foundation — Senior Manager/Executive Director sss Company Directly Serving Higher Education — Senior Manager _______________________________________________________________________________________________________ Number of Students: If you are a senior manager of a College/University, check total number of students. If you are a senior manager of a consortium, check total number of students from your member Colleges/Universities. 0-149 3 150-499 3 500-2,499 3 2,500- 4,999 3 5,000+ _______________________________________________________________________________________________________ Number of Employees: If you are a senior manager of a College/University, check total number of employees. If you are a senior manager of a consortium, check total number of employees from your member Colleges/Universities. 0-24 3 25-49 3 50-149 3 150-499 3 500-2,499 3 2,500-4,999 3 5000 + _______________________________________________________________________________________________________ Annual Budget for College/University: Only answer if you are a senior manager at a College/University. Consortium need not answer. $0-$499,000 3 $500,000-$999,000 3 $1,000,000-$9,999,000 3 $10,000,000 -$99,999,000 3 $100,000,000 + _______________________________________________________________________________________________________ Place of Birth This question acts as your electronic signature accepting this form as a formal subsciption to Higher Education Consortia magazine for a period of one year.