National Association of Credit Management

Membership Application

Please Type or Print

£ New Member			£ Information Change
Name:			Title:
Company:
Address:
City, State, Zip:
Office Phone:			Fax:
E-Mail:
NACM Affiliate:					NACM Member #
Management:	No. Years Experience:		Credit/Finance		No. Years Experience:
NACM DESIGNATION	CCA_____ ACCA_____ CBA_____ CBF_____ CCE_____
Are you your Company’s designated representative to NACM? £ YES £ NO
Participation in NACM (Committees, Industry groups, etc.)
Are you replacing another CFDD Member?		£ YES £ NO		If so, whom?
Were you previously a member of CFDD?		£ YES £ NO		Where/When?

Annual Dues shall be invoiced no later than March 31 and will be considered delinquent after May 1 each year.

Dues for new members will be pro-rated according to the date the application is approved by the Board of Directors.

Please indicate if billing is to be sent to your office or home address: Home £ Office £

I submit my application for membership:

Signed by:

Date Submitted: Date Approved:

Please send application to

Ellen Wodiuk- Membership Chairman

American Materials Group ö 7400 E McDonald Dr #115 ö Scottsdale, AZ 85250

Office: 480-483-0898 ö Fax: 480-483-0886 ö Email: ewodiuk@fmyavapaimaterials.com