Membership Application
To enroll, print and complete this page. Then mail it with your check (payable to Chicago Memorial Association) to the address below.
[__] Individual Membership: $30.
[__] Family Membership includes spouse/partner and children under 18: $40.
[__] Transfer Membership from a group in another city: $15.
[__] Enclosed is an additional $_______ contribution to the CMA to help support its consumer education programs.
Please print. List full names for all adults and ages for children under 18. Please print legibily!
Name________________________________________________________________
Address______________________________________________________________
_____________________________________________________________________
City/State/Zip__________________________________________________________
Daytime Phone________________________________________________________
E-mail Address________________________________________________________
Family Membership Names______________________________________________
____________________________________________________________________
____________________________________________________________________
How did you find out about the CMA? _____________________________________
___________________________________________________________________
[__] Please mail a copy of the CMA brochure to:_____________________________
___________________________________________________________________
___________________________________________________________________
[__] I intend to remember the CMA in my will. Please provide information.
| Spread the word! If you would like to invite a CMA speaker to make a presentation to your social organization or religious group, call us at (773) 327-4604. Volunteer! The Chicago Memorial Association is a non-profit, all volunteer organization. We depend on our members to take an active part in helping the organization serve members and grow. Can you volunteer a few hours a month to help with some of the following tasks? [__] Mailings [__] Computerize our membership records [__] Help with mailing and tabulating a survey of Chicago area funeral directors [__] Other ___________________________________________ You may have skills developed in your professional life or through leadership in other organizations that would be of great value to us. Call us! |
DO NOT SEND CASH. Complete this form and mail with check or money order to:
Chicago Memorial Association, P.O. Box 2923, Chicago, IL 60690
(773) 327-4604 • E-mail: chicmem@hotmail.com