Club Affiliation


2012 Club Affiliation Form

Club Affiliation

Complete the following 2012 Club Affiliation Form to affiliate your club with AFA.  If you would prefer to complete a paper form that can be mailed to the AFA Office, click here.

  

Organization Type :
National Specialty - Over 50 Members
National Specialty - 50 Members or Less
 
Local Organization - Over 50 Members
Local Organization - 50 Members or Less
Date of Application:
Name of Club/Society :
Address :
City:
State:
Zip :
Web Page Address :
Current Number of Members :


President

   
Name:
Address:
City:
State:
Zip:
Phone:
Email:


Editor

   
Name:
Address :
City:
State:
Zip:
Phone:
Email:


Delegate #1

  
Name:
Address:
City:
State :
Zip:
Phone:
Email:


Delegate #2
(Complete only if club has more than 50 members)

    
Name:
Address:
City:
State:
Zip:
Phone:
Email:
    
By completing this form and clicking the "Add to Cart" button below, you hereby agree to the following
statement:

"Please affiliate our organization for calendar year 2012. We understand that we are entitled to name one voting delegate if we have 50 members or less, and two voting delegates if we have over 50 members. We also understand that each delegate must hold a current member ship in AFA. Delegates serve in the AFA House of Delegates and will receive the AFA In Brief via email. We hereby agree to the current AFA Bylaws. "
 
    
Form Signed By :
Date:
Title: