Application for Membership

Name Name First Last
Title
Institution Name
Tax ID Number
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Self Evaluation (Please include the following information with your application.)

1.Please provide a brief summary (no more than one page) of your school's present and proposed initiatives with regard to Undergraduate International Business Education.
2. What do you hope to gain from your membership in CUIBE?
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Membership
Select Membership Level

Select Membership Level Full Membership - $2000
$1000 Application Fee
$1000 Annual Dues Associate Membership - $1000
$1000 Annual Dues
Agreement and Signature

By submitting this application, I affirm that I am authorized to represent and act on behalf of said institution in any matters related to the Consortium for Undergraduate International Business Education.
Institution
Representative
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Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
Upon receipt of this form, an invoice for annual dues and, if applicable, application fee will be forwarded to the institutional representative.

You may fax, email, or mail form to:
CUIBE c/o International Business Institute,
SSB 461 University of Missouri
St. Louis One University Blvd.
St. Louis, MO 63121

Phone: (314) 516-4503 Fax: (314) 516-6420
E-mail: cuibeadmin@umsl.edu

Application for Membership

Self Evaluation (Please include the following information with your application.)

Membership

Agreement and Signature

Upon receipt of this form, an invoice for annual dues and, if applicable, application fee will be forwarded to the institutional representative.