Non-Member Application Form

Print this form, complete it and mail OR fax it to AFP.

CHECK PAYMENTS: Make check payable to AFP and mail with this form to:

AFP
P.O. Box 64714-D
Baltimore, MD 21264

CREDIT CARD PAYMENTS: Fax this form with credit card information to 301.907.2864, ATTN: Membership Department.

To avoid duplicate payments, do not mail applications that were previously faxed.

ANNUAL DUES - $75 (payable in U.S. dollars) - $75 dues payment only applies for professionals who are between positions. All other individuals must pay the current membership rate of $395. At the end of the Career Trust year, all members are invoiced the regular membership dues rate. Memberships expire December 31st of the year they begin. New members joining after March 31st will receive credit toward the following year's dues.

Please TYPE or PRINT.

 Mr.     Ms.     Mrs.

Name: _____________________________________________________________

Address: ___________________________________________________________

City: _________________________  State/Province: ___________________

Zip/Postal Code: _______________  Country: _________________________

Phone: ________________________  Fax: ___________________________

E-mail: __________________________________________________________

PROFESSIONAL CREDENTIAL INFORMATION:

Indicate the professional credentials you have earned (excluding college degrees):

 CTP      CCM     CPA     CFA     Other - Specify:  ________________

How did you learn of AFP´s Career Trust program?

AFP Web site  FENG  AFP member  Other:  _________________

PAYMENT INFORMATION: $75 (payable in U.S. dollars)

Dues are individual, non-refundable, and non-transferable. Dues payments may be deductible as a business expense but are not deductible as a charitable contribution.

METHOD OF PAYMENT:

 Check Enclosed     American Express     Diners Club
 MasterCard     VISA

For Check Payment
Make check payable to AFP. Mail check and this form to
AFP, P.O. Box 64714-D, Baltimore, MD 21264.

For Credit Card Payment
Fax this form and credit card information (below) to 301.907.2864. To avoid duplicate payments, do not mail applications that were previously faxed.

Card # : _______________________________  Exp. Date: ______________

Signature: ________________________________________________________