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
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 $495. At the end of the Career Trust year, all members are invoiced the regular membership dues rate. All memberships are 12-months in duration based upon the month in which you join. For example, individuals whose AFP membership begins in April will have an expiration date of March 31 the following year.
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: ________________
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
Discover
MasterCard
VISA
For Check Payment Make check payable to AFP. Mail check and this form
to
AFP, P.O. Box 64714, 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: ________________________________________________________
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