| MEMBERSHIP APPLICATION AND RENEWAL FORM |
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PLEASE ENTER TODAY'S DATE ____/____/20____ PLEASE INDICATE TYPE OF MEMBERSHIP: ____ REGULAR ____ VENDOR |
| COMPANY/ORGANIZATION: |
| MAILING ADDRESS (CITY, STATE, ZIP CODE): |
| 1. REPRESENTATIVE (LAST, FIRST, MIDDLE) |
| TITLE: |
| BUSINESS PHONE: ( __ __ __ ) __ __ __ - __ __ __ __, FAX: ( __ __ __ ) __ __ __ - __ __ __ __ |
| EMAIL ADDRESS: |
| 2. REPRESENTATIVE (LAST, FIRST, MIDDLE) |
| TITLE: |
| BUSINESS PHONE: ( __ __ __ ) __ __ __ - __ __ __ __, FAX: ( __ __ __ ) __ __ __ - __ __ __ __ |
| 3. REPRESENTATIVE (LAST, FIRST, MIDDLE) |
| TITLE: |
| BUSINESS PHONE: ( __ __ __ ) __ __ __ - __ __ __ __, FAX: ( __ __ __ ) __ __ __ - __ __ __ __ |
| SPONSORED BY: |
About The Membership Application and Renewal Form Annual dues cover a maximum of three representatives from each organization. Additional members can be added to the list for $10.00 each. Dues are for the fiscal year January 1 through December 31. If dues are not in by the first day of July, (membership renewals only) your membership will expire. Annual dues are $35.00 for regular membership and $50.00 for Associate Membership. Please mail this application and your check made payable to CFMA, to the following address: Colorado Fire Mechanics AssociationP.O. Box 17961 Denver, Colorado 80217 |