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Use the following links to download a Chapter
Application Form or just print out this page and follow the
directions below:
Chapter
Application (.doc)
Chapter
Application (.pdf)
ACFE TAMPA BAY CHAPTER
2007 - 2008 CHAPTER APPLICATION
Name:___________________________________________________________
Designation(s): ________________________ CFE # (if applicable) _________
Job Title/Degree Program:
_________________________________________
Employer/School:
________________________________________________
Mailing Address:
_________________________________________________
City: _____________________ State:
__________ Zip Code: _____________
Phone: Office: ___________________
Residence: ______________________
Fax: _______________ Email:
______________________________________
Signature:
_____________________________________ Date: ____________
Membership application
is
subject to the approval of
the Tampa Bay Chapter Board of
Directors.
TAMPA BAY CHAPTER DUES
(FOR THE FISCAL YEAR ENDING JULY 31, 2007)
(Chapter dues do not include
annual dues for the Association.
Call (800) 245-3321 to join
the Association.)
Membership Selection (check one):
_____ Chapter Membership - $25
- Must be a Certified Fraud Examiner and a
member of the ACFE. Chapter members are eligible to vote
and hold office in the Chapter.
_____ Chapter Associate - $30
- Must be an Associate Member of the ACFE.
Chapter associates are eligible to vote and hold office in
the Chapter.
_____ Chapter Affiliate - $30
- Not a Certified Fraud Examiner or an
Associate of the ACFE. Chapter Affiliates are not eligible
to vote or hold office in the Chapter
_____ Student Member - $25
- Full-time student currently enrolled in
degree programs. Student Members may not vote or hold
office the Chapter.
_____ Organization Memberships
- A 20% discount is available when five (5)
professionals join from the same organization. Please
complete an application for each professional.
_____ $10.00 donation to the Chapter's
Scholarship Fund
Please make checks payable to : "ACFE
TAMPA BAY CHAPTER"
Mail application and check to:
ACFE - Tampa Bay Chapter
P.O. Box 175
Tampa, Florida 33601
Questions about your membership? Call Gary
S. Chapman, Membership Chairperson, at (813) 274-7163.
Note: Membership dues may be deductible as a business expense,
not as a charitable contribution.
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