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KCAFP ON-LINE MEMBERSHIP APPLICATION  

* Required fields.

Personal Info

First Name *:

Last Name *:

E-mail *:

Birthdate *: (mm/dd)

Spouse Name:

Gender *:

Membership Type *:



Company Info

Company Name *:

Title *:

Accreditations: (CTP/CCM, AAP, CPA)

Business Address *:

City *:

State *:

Zip Code *:

Phone *: (ex. (555)555-5555 ext.1234)

Fax: (ex. (555)555-5555)



Year You Entered The Financial Profession *:

Preferred First Name For Badge *:



Additional Info

Your Organization's Industry *:

Your Relationship To Finance *:


Your Organization's Annual Assets *:

Your five primary work responsibilities: (Rank 1-5, where 1 means "most frequently performed")
1.

2.

3.

4.

5.


* Members may submit a self portrait photo (in jpg or gif format) to info@kcafp.org.


 
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