CAFHA ONLINE MEMBERSHIP FORM
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Email *
FULL NAME OF PERSON COMPLETING THIS FORM *
PHONE NUMBER OF PERSON COMPLETING THIS FORM *
ANNUAL MEMBERSHIP TYPE: (CHECK ONE) *
Dues are for the current Fiscal Year (September 1  - October 31)
Required
NAME OF ORGANIZATION *
Write N/A if this is an application for an individual member.
INDUSTRY *
Required
EMAIL OF ORGANIZATION *
Write N/A if this is an application for an individual member.
PHONE NUMBER OF ORGANIZATION *
Write N/A if this is an application for an individual member.
ADDRESS OF ORGANIZATION or INDIVIDUAL *
CITY/ZIP CODE OF ORGANIZATION or INDIVIDUAL *
QUESTION: Please confirm the email address where your application confirmation should be sent. *
LET'S CONNECT! As part of the approval process we would like to schedule a conversation with you regarding your interest. What is the best way for us to connect?   *
Required
Please confirm the phone or email address where we can reach you for our conversation. *
When is the best time to connect with you? Please specify day of week, time frame, etc. *
ADDITIONAL INFORMATION: Please let us know what made you interested in becoming a CAFHA member? *
Of all the member benefits listed on our website, which was most appealing to you? Check all that apply or add comment. *
Required
Questions or Comments: Is there anything else you would like to share with us or request (i.e. dues waiver)? *
Thank you!
WE WILL BE IN TOUCH WITH YOU SOON!
A copy of your responses will be emailed to the address you provided.
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