Membership Referral Form

Who do you know that would benefit from an ACTE membership? We are reaching out to you to help us grow stronger than ever and support our work across the country.

We are hoping that you will provide us with some ‘leads’ and/or ideas - as to whom we could approach for membership and/or sponsorship.

You can do this anonymously - or you can include your name. If you chose the latter, and the ‘lead’ turns into a new member or sponsor for us - we’ll include your name in a draw for a FREE 2007 Membership.

In any case, know that we will follow this up in a professional manner and not use this information for any other purpose.

Possible New Members:

Possible New Sponsors:

OPTIONAL: (complete to be eligible for a FREE 2007 ACTE Membership)

Submitted by: Email: Phone:

Yes - you can mention that I made this referral

No - please do not mention my name