E&I Contract Patron Application

Institution Information











Number of Students(Numeric Only). This is required if you choose “Higher Ed” or “K-12” for Institution Classification.

If you choose either “Higher Ed” or “K-12”, you must enter Full Time Equivalent(FTE).


The Standard Industrial Classification, SIC code, is a system for classifying industries by a four-digit code. This information will allow us to identify your organization by its industry classification for E&I internal use only.



Contact Information







Referral Information






The IRS requires E&I to obtain a W-9 from our members with the correct taxpayer identification number and payee information for certain other income paid to you. You must provide your TIN whether or not you are required to file a tax return. Payers must generally withhold 30% of taxable interest, dividends and certain other payments to a payee who does not give a TIN to a payer.

Completed W-9 form may be submitted directly via email to membership@eandi.org.