Friends of INPEA Sign Up and Nomination Form

Contact Information

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Please accept my contribution as an inaugural member of “Friends of INPEA” in the amount of : *

$50

$100

$200

Other Other

How would you prefer to send in your donation? *

Check

Credit Card

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*We'll contact you after we receive your sign up form.

Nominate Other "Friends"

Do you have another non-public school advocate who would see the value of supporting INPEA?

Name

Email Address

Why would your nominee be a good candidate for “Friends of INPEA”?

Other comments you would like to make about INPEA?