Become a Supporting Academic Institution

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Name*
First Last
Institution Name
Supporting Academic Institution*
Payment Method*
- Credit Card
- Check by Mail
Billing Address*
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Worcester Economic Club Supporting Academic Institution
Credit Card*

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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Sponsorship Paid Thru (Hidden)
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As a Supporting Academic Institution you will receive 25 guest passes per year.

If paying by check, please mail payment to:

The Worcester Economic Club
c/o Linda Salem Pervier

Worcester Chamber of Commerce
311 Main Street, Suite 200
Worcester MA 01608

Please inquire for more information about becoming a Supporting Academic Institution.