The Association for Financial Proffessionals of Arizona Membership Form and incentives are listed below.

Please contact us with any questions you may have.

melissa.davis@pinnaclewest.com

Thank you.

Melissa Davis

2010-2011 President, AFPA 

				Association for Financial Professionals of Arizona  Membership Application
PLEASE CHECK ONE:
	I am applying for a new membership with the AFPA.					Referred by:___________________________
	I am renewing my membership with the AFPA.
Name:________________________________________________________________________________
Title:__________________________________________________________________________________
Company:_____________________________________________________________________________
Address:______________________________________________________________________________
	Street or P.O. Box                            City                                       State                      Zip
Phone No:_______________________________					Fax No:_______________________________________
E-Mail Address:________________________________________________________________________
PLEASE TAKE A FEW MINUTES TO ANSWER THE FOLLOWING QUESTIONS:
Please indicate any professional credentials you may have earned, excluding college degrees (check all that apply).
	CTP/CCM		CFA		CPA		Other (specify)_______________
Do you plan to take the CTP exam in 2011?						Yes		No
How many years have you been involved in the Treasury profession?_______________years
How many years have you been in your current position?  _______________years
Of which OTHER professional organizations are you currently a member? (check all that apply)
	AFP		ASCPA		RMA		Other (specify) ________________
Are you interested in becoming an				AFPA Board Member?				Yes		No
				AFPA Committee Member?				Yes		No
What topics would you like presented or discussed at an AFPA meeting?_________________________
______________________________________________________________________________________
How did you hear about the AFPA?_________________________________________________________
PAYMENT OPTIONS:			TAKE ADVANTAGE OF OUR EARLY PAYMENT DISCOUNT AND SAVE!!!
You have two options - please indicate your choice:
	Full Member dues:  $275-Includes all monthly meetings
	Late Registration:  $325 (Membership dues received after  February  28, 2011)
	Member dues:  $125 plus $30 fee per meeting attended
	Late Registration: $175 plus $30 per meeting attended (Membership dues received after February 28, 2011)
Remittance Method: (check one)
	Check enclosed			Please charge my Visa/MasterCard #________________________
	Expiration Date:______________________
	Billing Address:______________________				City, State, Zip Code:____________________________
	Signature:___________________________					Date:________________________________
Monthly meetings held at McCormick & Schmick's Seafood Restaurant at 2575 East Camelback Road, Phoenix AZ
All meetings will be lunch meetings with the exception of one Webinar
Registration and payment can be made through our website at www.afparizona.org in lieu of mailing or faxing a form
Please complete a membership form for each applicant. Completed forms can be either mailed or faxed.
Mail completed form with check made payable to Association of Financial Professionals of Arizona to: Dale Politi, SRP, P.O. Box 52025, Phoenix, AZ 85072-2025 Phone 602-236-3092, Fax: 602-236-5608   E-mail your response to: Dale.Politi@srpnet.com
Fax application with credit card information and signature to: Association for Financial Professionals of Arizona 602-236-5608

Pricing Summary

Early Bird Membership thru 2/28/2011

Early Bird pricing:

            Full Membership                                             $275.00

            Membership plus $30.00 per meeting             $125.00

Pricing as of 3/1/2011:

            Full Membership                                             $325.00

            Membership plus $30.00 per meeting             $175.00

Incentives

All membership forms received by 1/31/2011 will be entered in a drawing to receive their 2011 membership for free!

For each NEW MEMBER you bring to the AFPA in 2011 you will receive $25.00.

            Note:  This does not apply for specific membership drive events

                        The President AFPA is not eligible