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Name of institution

Are you a Yes We Must Coalition member?

Check our list of members to make sure of your status: https://www.yeswemustcoalition.org/members.

Email of person fillng out form

Team Composition

Cost for up to 4 team members:
YWMC members: $475
NON-YWMC members: $625

Additional team members (a 5th team member or more):
$100 for members
$125 for non-members

Name of first member

Title/Role of Member 1

Member 1’s School Email Address

Name of second member

Title/Role of Member 2

Member 2's school email address

Name of third member

Title/Role of Member 3

Member 3's school email address

Name of fourth member

Additional Team Members

$100 per additional YWMC member | $125 each for non-YWMC members

Title/Role of Member 4

Member 4's school email address

Name of fifth member

Title/Role of Member 5

Member 5's school email address

Name of sixth member

Title/Role of Member 6

Member 6's school email address

Name of seventh member

Title/Role of Member 7

Member 7’s school email

Name of eighth member

Title/Role of Member 8

Member 8’s school email address

Total Cost

PLEASE ALSO SELECT THIS PRICE IN THE PAYPAL SECTION BELOW IF YOU ARE REGISTERING MORE THAN 4 MEMBERS.

Is there anything you would like to tell us or discuss?