IAFSM MEMBERSHIP APPLICATION/ RENEWAL
January 1999 - December 1999
Name: ___________________________________________________________
Organization: _____________________________________________________
Address: ________________________________________________________
City: _________________________ State: ____ Zip: ________________
Phone: _________________________ FAX: ___________________________
E-mail Address: _________________________
|
If you are joining ASFPM in addition to IAFSM, read this section. Note that IAFSM members are not required to join ASFPM - this dual application form is provided solely as a convenience to Association members. ASFPM Membership Application/Renewal IAFSM is a chapter of the Association of State Floodplain Managers (ASFPM). Membership in ASFPM is separate, although you may apply for or renew ASFPM membership on this form with the same check. If so, make your check out to "IAFSM" for $20 plus the appropriate ASFPM membership fee:
|
IAFSM Dues: $ 20.00 ________________________________________________
ASFPM Dues (if applicable): $ ______________________________________
Total Check: $ _____________________________________________________
Please print a copy of this form, fill in the blanks,
and mail it, along with your check (payable to IAFSM) to:
IAFSM
153 Nanti
Park Forest, IL 60466
Questions? Call 708/747-5273
Illinois Association for Floodplain and Stormwater Management