2

Dedicated to Maintaining and Improving the Quality of Chemistry Offerings in the Two-Year Colleges



Division of Chemical Education
American Chemical Society

Please consider supporting the 2YC3 by having your college become College Sponsor. The annual fee is only $35. You will receive a certificate suitable for framing to display your sponsorship.

NEW! Electronic payments (credit card, bank transfer, PayPal) are now accepted! Fill out this form first and you will be sent to PayPal to complete your transaction. Or, you may continue to mail a check for your payment if you like.

We wish to: Become a 2YC3 College Sponsor
 Renew 2YC3 College Sponsorship
Institution:  
Address1:  
Address2:  
City:  
State:  
ZIP (9-digit, please):  - Including your nine digit ZIP code helps us save postage for our newsletter.
Look up your 9-digit ZIP at http://www.usps.com/zip4.
     
Contact Person  
First Name:  
Last Name:  
Work Phone:  -- Extension:
Email:  
I will pay by: mailing a check
 PayPal electronic checkout - also accepts credit card and bank transfers
     (a PayPal account is NOT required)
     VISA MasterCard Bank PayPal
(For electronic payments, you will be directed to PayPal for secure checkout. No credit card information is stored on the 2yc3.org servers.)
   

Check your entries above for any errors or omissions. When you are finished checking your entries, click on the "Submit Membership Form" button below. A form will be generated that you may print out and mail with your payment (mailing address is provided on the form), or you will be able to checkout electronically using PayPal.

Please note that your college sponsorship is not complete until your payment is received. Please contact the college sponsor chair, Kelly Befus if you have any questions