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Application for Associate Membership
First Name:
Last Name:
Title:
Email
Company:
Mailing Address
City
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Wisconsin - WI
Wyoming - WY
Zip Code:
SHIPPING INFORMATION
Enter shipping information below if different from your listed mailing address.
Shipping Address
Please enter shipping address
City
State:
Select One
Alabama - AL
Alaska - AK
Arizona - AZ
Arkansas - AR
California - CA
Colorado - CO
Connecticut - CT
Delaware - DE
Florida - FL
Georgia - GA
Hawaii - HI
Idaho - ID
Illinois - IL
Indiana - IN
Iowa - IA
Kansas - KS
Kentucky - KY
Louisiana - LA
Maine - ME
Maryland - MD
Massachusetts - MA
Michigan - MI
Minnesota - MN
Mississippi - MS
Missouri - MO
Montana - MT
Nebraska - NE
Nevada - NV
New Hampshire - NH
New Jersey - NJ
New Mexico - NM
New York - NY
North Carolina - NC
North Dakota - ND
Ohio - OH
Oklahoma - OK
Oregon - OR
Pennsylvania - PA
Rhode Island - RI
South Carolina - SC
South Dakota - SD
Tennessee - TN
Texas - TX
Utah - UT
Vermont - VT
Virginia - VA
Washington - WA
West Virginia - WV
Wisconsin - WI
Wyoming - WY
Zip Code:
CONTACT INFORMATION
Please provide your contact information below
Toll Free:
Local Number:
Fax Number:
Website and Social Media
Website
LinkedIn
Facebook
Business Information
Description of business and products sold:
Please describe your business and product or service sold
An application fee of $250.00 must be submitted to Lisa Walker (Accounting Administrator) at LWalker@CFESA.com. Membership dues are $1290.00 annually and will be pro-rated according to the date of this application.
Acceptance:
We, the undersigned, do hereby make application for membership in the Commercial Food Equipment Service Association, Inc. and agree to abide by the Articles of Incorporation and Bylaws of the Association. Enclosed is my check for the application fee.
Signature:
Date:
By submitting this form you agree that all information provided is true and represents the aforementioned business and the products in which sell or service.
SUBMIT
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