* Required

Partnership Application

You may also download a form here and return it with a check to:

Paulien Rorick
Staff Associate for Digital Communications
CT Association of Public School Superintendents (CAPSS)
26 Caya Avenue
West Hartford, CT 06110-1086

PARTNERSHIP LEVEL

Basic $1,500

COMPANY INFORMATION

Items with * are required

Company Name*required

Company Street Address*required

City*required

State*required

Zip Code*required

Contact Name*required

Contact Title*required

Contact Email*required

Contact Phone*required

Website URL*required

Facebook URL

Twitter URL

Additional Information

50- TO 100-WORD COMPANY PROFILE*

(Profile will be used as your company description on CAPSS' website and initial Partner introduction to our members from CAPSS' Executive Director.)

BUSINESS CATEGORY

Education Consulting Legal

Architect Construction Transportation

Finance Insurance Technology

Facility Management Other (please describe below)

Other

SIGNATURE OF COMPANY REPRESENTATIVE

Name*required

Title*required

Date*required (mm/dd/yyyy)

Email*required

Phone*required

Thank you for your support. We will contact you when we receive the application and will then mail you an invoice. The Partnership will proceed upon receipt of payment.

Questions?

Contact:

Paulien Rorick

prorick@capss.org

(860) 236-8640 x170

UPDATED 7-2020

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