NCCET Star Partnership Form

Please complete the following information so that we may process your order. Thank you so much for supporting NCCET!

Contact Information

Name
Title
Company
Address
City/State/Zip
Daytime Phone
Fax
Email

Partnerships

Select the Partnership Level

Payments

Payment Plans

I Want to Participate in the Payment Plan (One-Time $25 Fee). NCCET offers participants the ability to make periodic payments for the total amount due. The total amount due will be divided into equal payments and automatically processed on your credit card through our secure, automated service. The fee to participate in this Quarterly Payment Plan is a one-time charge of $25. This one-time fee will be charged at the time of the first of the payments.
Select Your Payment Frequency
If you selected any BUT One Time Payment, pick PAY BY MAIL and we will call you to get your credit card information so that we can directly enter into the system for the frequency of payments selected. If you selected One Time Payment, please proceed with paying via credit card or by mail.

Total Amount Due

ENTER TOTAL AMOUNT DUE $$ (Required Field)

Tax ID # 52-1245251
(A NCCET W-9 Form can be found on the NCCET website at www.nccet.org on the bottom of the Contact Us page.)
   - denotes required fields