Join the Tampa Bay Chapter!

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"

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.