Central Mississippi Chapter of the Association of Certified Fraud Examiners

Chapter Membership Application 

Please provide the following information for Chapter Membership:

Full Name
CFE? (If yes, provide #)
Other Certifications
Title
Organization
Address
Address (cont.)
City
State
Zip
Work Phone
Home Phone
Fax Number
E-mail Address

 I am: (check one)

a Certified Fraud Examiner; annual dues are $25                  

                - Chapter status: Voting Member

an Associate Member (a non-CFE Associate member of ACFE); annual dues are $25    

                - Chapter status: Voting Member

a Chapter Affiliate (not a member of ACFE); annual dues are $25

                - Chapter status: non-voting meeting participant 

a Student Member; annual dues are $15                  

                - Chapter status: non-voting meeting participant 

NOTE:  Membership in the Central Mississippi Chapter does NOT represent membership in the Association of Certified Fraud Examiners and Chapter members are expressly prohibited from any such representation. 

Print this from and mail with a check to:

Central Mississippi Chapter ACFE

Attn:  Chapter Treasurer

P.O. Box 13442

Jackson  MS 39236-3442  

 

 

                                                                                          

Signature (for hard copy submission)        Date