Funeral Consumers Assoc. (FCA) of Tampa Bay

Application Form Funeral Consumers Assoc. (FCA) of Tampa Bay

Please print or type all information on the line above the information request.

Name:

Spouse:

Address:

City, State, Zip:

Phone Number:

If transferring, from what Association? (Please have the above listed Association send us a transfer letter stating you are a member in good standing.) The transfer donation is $10 per adult.

Membership donation enclosed: (There is a one-time life-time membership donation of $30 per individual or $50 per family: parents & children under 18.)

Please mail this form with your check (made out to the Association) to:

FCA of Tampa Bay, Inc.
M. Sandra Elmore, Membership/Treasurer
18902 Arbor Drive
Lutz FL 33548-5051

Upon receipt of this application and your check, you will receive:

A Membership Card.

The Schedule of Fees.

The associated Funeral Home's name, address and phone number.

Final Arrangement/Vital Statistics Form - on which you can list your funeral wishes. This Form can be accessed here and completed by you and sent with your application or we can mail you a Form with the Membership card for you to complete and return.

Cremation Authorization Form - If you select cremation, it is necessary for your spouse (if still alive) or all of the children to each sign a Cremation Authorization Form. A form will be supplied by the Funeral Home at the member's Death.

If you have any questions, please contact Sandra Elmore by U.S. Mail, Phone or E-mail.