Institutional Membership Form

Institution Contact Information

Institution Overview
Phone Number:
Phone Number:
Fax Number:
Fax Number:
http://
Designated Primary Board Member for MIEC
Name
Name
Phone
Phone
Designated Alternate Board Member
Name
Name
Phone
Phone

Please submit this form and either:

1. Pay through PayPal or

2. Send the MIEC Membership check ($2000) to:

Treasurer of Maryland International Education Consortium

Nellie Pharr-Maletta

CCBC Catonsville,

800 South Rolling Road,

Baltimore, MD 21228

You will be contacted by MIEC so we can add your institution to the MIEC’s website and other materials. Any questions about the MIEC membership should be addressed to President Saleha Suleman, ssuleman@towson.edu, 410-704-3730. Thank you for joining MIEC, we look forward to working with you!