COSEBOC - The Coalition of Schools Educating Boys of Color
 

Join COSEBOC

Thank you for joining the Coalition of Schools Educating Boys of Color. We welcome you this important movement, and look forward to partnering with you. Please fill out the information below, and the next page will take you to payment instructions.

Many thanks, Ron Walker

* = Required fields must be filled in - thank you

* First Name:
* Last Name:
* Title:
* School/Organization:
* Street Address:
* City, State, Zip

* Phone:
Cell:
* E-mail:
Website:

* Role:

Principal
Researcher
Teacher
Administrator
Parent
Student
Other - Please specify

* Membership Level:

Advocate Member ($25.00/year)
Individual Membership ($150.00/year)
Organization Membership ($300.00/year)
School Membership ($500.00/year)
School District Membership ($3,500 or $5,000/year)

* Payment Method:

Online payment through PayPal
Mail check
Comments:
 
   
 
COSEBOC - Coalition of Schools Educating Boys of Color
 

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