Consumer Agency Membership Application

 

*Indicates required field

The undersigned, acting on behalf of the applicant, hereby applies for Associate Membership as a (select one)*
  • City Consumer Agency $75
  • County Consumer Agency $100
  • State Consumer Agency $200

In compliance with CFA’s requirements, I am submitting the following information:

Agency Name*
Job Title*
Country
Email*
Confirm Email*
Phone
Organization's Website
Name (signature)*
Please provide a brief description of the agency’s mission and functions: *
How did you hear about CFA?

Questions? Please contact Sara Cooper at scooper@consumerfed.org 

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