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MEMBERSHIP REGISTRATION FORM

MEMBERSHIP REGISTRATION INFORMATION:

First Name
Last Name
Title
Organization
Affiliation or
Profession
If other
Mailing Address
Mailing Address
City
State
Zip Code
Country
Phone Day         Eve  
Phone Cell         Pager 
Fax
Email

 

PLEASE SELECT YOUR MEMBERSHIP TYPE

Membership levels - Circle 1
Student/Senior (over 65) - $25
Individual - $35
Nonprofit - $60
  Two employees may register at the Member Rate at all CaUFC workshops and confernces.
Small Business/Government Agency- $125
  Four employees may register at the Member Rate at all CaUFC workshops and conferences.
Corporate - $250
  Eight employees may register at the Member Rate at all CaUFC workshops and conferences.
Recognition booth location at CaUFC Annual Conference

 

Payment method
By check through mail
Online with credit card


IMPORTANT: Before hitting "Continue", print out the filled-in membership form for your own records.

 

 

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