NEW MEMBER & MEMBER RENEWAL APPLICATION

Firm Membership Fees

Based on annual caseload

<100 Cases: $200

100 to 500 Cases: $350

>500 Cases: $600

Individual Membership Fees

Based on your level of licensure

Funeral Service Practitioner: $75

Intern or Student: $50

Non-Licensed: $50

Vendor Membership

Flat rate membership fee for all vendors

Please contact us with:

Company Name and Representative Info

$75

MEMBERSHIP APPLICATION

NMFSA New Member and Member Renewal Application Form

After completed/updated info is submitted through submitting the form below, please make payment for desired membership level

Make Payment

To The Board of Trustees:

Having thought favorably of the New Mexico Funeral Service Association, I hereby make application to become a member, and if accepted, agree to abide by the Constitutions, By-Laws, and Rules of the New Mexico Funeral Service Association.

Membership Application Form

Please Choose A Membership Type:

Individual

Vendor

Firm

Member Name:

Date of Birth:

Funeral Directors License Number:

Date Licensed in NM:

Funeral Home Name:

Funeral Home Address:

City:

State:

Zip Code:

Address at Which You Prefer to Receive Mail:

Phone:

Email:

Local Association:

Free Text

If Firm membership, please list all employees' name, date of birth and license numbers below:

Name:

Date of Birth:

License Number:

Name:

Date of Birth:

License Number:

Name:

Date of Birth:

License Number:

Additional Employees:

NEW MEMBER & MEMBER RENEWAL APPLICATION

NMFSA New Member and Member Renewal Application Form

Membership Application Form

A Year of Grief Support

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