1. Join GCCA Today Sign up by December 31 for Special Early Bird Discount! Sign up by December 31 for Special Early Bird Discount! Membership Benefits Through the Early Education Advocacy Fund, GCCA contracts lobbyists to advance your interests with lawmakers and regulators GCCA provides timely information from DECAL and on-going counsel to centers on regulatory, safety and health issues GCCA hosts annual members-only conferences and trainings to help you improve your business practices, policies and procedures GCCA provides criminal background check services and discounts for members GCCA manages vendor relationships and identifies business resources so centers may operate more efficiently and cost effectively GCCA manages internal communication as well as media relations and marketing 2 Years $219 Early Bird $199 before 12/31 ______ Annual $119 Early Bird $99 before 12/31 ______ 3 Years $319 Early Bird $299 before 12/31 ______ GCCA is the only organization in Georgia working to Advocate, Communicate, and Educate on behalf of the Child Care Industry. Your continued support is critical to our success! Annual Membership ________2 year Membership________3 year Membership_______ Automatic Annual Renewal (30 days notice) Yes_______ No_______ Name_________________________________________________________________________________________ Center_________________________________________________________________________________________ Address________________________________________________________________________________________ City, State, Zip___________________________________________________________________________________ Phone___________________________________________ Fax___________________________________________ Email__________________________________________________________________________________________ PAYMENT TYPE: __________ Check Payable to Georgia Child Care Association Credit Card:_______ Visa _______ MasterCard _______American Express Card No:____________________________________ Expiration Date:______________ Security Code:___________ Print Name on Card______________________________________________________________________________ Billing Address if Different from Above:______________________________________________________________ Authorized Signature_____________________________________________________________________________

2. Membership:_________ Advocacy Fund Contribution:__________ Total: __________ Credit Card: Visa_________ MasterCard__________ American Express_________ Card No:___________________________ Expiration Date:__________ Security Code:___________ Print Name on Card__________________________________________________________________ Billing Address if Different from Above:__________________________________________________ Authorized Signature_________________________________________________________________ (Checks Payable to Georgia Child Care Association) President’s Circle - $1000 and up __________ Executive Level - $500-$999 __________ Donor Level - $250-$499 __________ Benefactor Level - $100-$249 __________ Friends of GCAA – Up to $99 __________ Other Donation – (specify) __________ Give to the Early Education Advocacy Fund Save $20 on Membership, Sign up by December 31, 2015 Early Education Advocacy Fund donors are recognized on our website at:website Mail McGinnis Village Place, Suite 215 Alpharetta, GA 30005 Phone and Fax Fax form to (770) 752-4207 Call (770) 752-4117 Join Online georgiachildcare.org 3 convenient ways to submit your application and remit your payment Our efforts include: Monthly meetings with DECAL to monitor regulatory changes and advocate for the child care industry Maintaining a GCCA seat on ALL DECAL workgroups to educate policy makers on industry issues Directly engaging with the Georgia Legislature and the Governor to improve Pre-K and CAPS funding All donations directly impact our ability to work with state and federal policy makers on your behalf. 2016 Support Levels