2011-2012 Membership Application

This is for online NEW and RE-NEWAL Membership Only
If you are mailing or faxing your membership in, please go directly to our printable FORM
If you are updating your information please go to our Online Membership Update page HERE

I. Name & Mailing Address

First Name:
M.I.
Last Name:
Business Name:
Address:
City:
State, Province or Region:
Zip Code:
County:
Country:
Telephone:          Business Phone: Business Fax:
               
ACTIVE
This class of membership may be held by any employee of a governmental entity in Maryland who is employed in government financial management, including accounting, auditing, financial reporting, cash management and investments, debt management, budgeting, pension and benefits, risk management and procurement.

HONORARY

This class of membership is bestowed by the Board of Directors to recognize outstanding achievement in government financial management.
Email:

STUDENT

This class of membership may be held by any full-time college/university student enrolled in a field of study related to financial management.

II. Business Information

Job Title
Dept.
Organization

Employer:


Responsibility:


RETIRED

This class of membership may be held by any person who was an active or associate member upon retiring from the profession who desires to maintain a relationship with the Association.


III. Student Information

College/University
Field of Study
Expected Degree
Expected Graduation
                                                     Mo/Day/Year

IV. Membership Class/Dues

ASSOCIATE

This class of membership may be held by any other person not eligible for active membership, but who is interested in promoting the practice of government financial management, and furthering the purpose and objectives of the Association.

Please choose a membership class and applicable dues:

 - none

V. Payment:

Amount Due $

For Online Payment, click "Submit" below after reading
agreement. Your credit card information will be requested
on the next page.


Check enclosed (payable to MDGFOA)

Charge to my:
If printing form for mailing or fax, please provide the following:
Card Number - - -
Expiration Date - -

Print Cardholder’s Name:

VI. Agreement

By submitting this application, I pledge to uphold the Constitution and
By-laws of the Association and agree to support the purpose and objectives
of the Association.

           




©2011 MD GFOA

2142 Priest Bridge Ct. Sutie 9
Crofton, MD 21114

Phone: 410-451-3025
FAX: 443-926-9631
email: MD GFOA Management Office