Print, prepare and fax this applcation to CFAAinc - 843-852-2870
(right click on page and select print)

Name:______________________________________________________      

Business Name:______________________________________________     

Address of
Business:_________________________________________________________________________________
                                                                                            (address,city,state, zip)

Mailing
Address:__________________________________________________________________________________
                                                                                            (address,city,state, zip)

Office Phone:__________________ FAX: _________________________ email:_________________________

Toll Free: ____________________ Toll Free Fax:________________________ After hours:_______________

Internet Web Address: http://www._____________________________________

CLASSES OF MEMBERSHIP

Active Member,  NC/SC Recovery Agent
Membership Fees................................................................ $300.00 ______
Associate Member, Recovery Agent Outside NC/SC see also: page 2
Membership Fees................................................................ $250.00 ______
Vendor Member,
Membership Fees................................................................ $300.00 ______

CFAAinc.
PO Box 1541
Irmo, SC 29063
803-749-8844 - Phone
803-749-8866 - Fax

 

Referred by: _______________________________________   Date: _____________________

Signed:__________________________________________________ Member Since:______________
First years membership fee must accompany this application before application can be formally considered.  We request that all applications for membership be returned directly to the CFAAinc Home Office at:

CFAAinc.
4408 Highway 162
Hollywood, SC 29449
843-852-2869 - Phone
843-852-2870 - Fax

Make checks payable to: Carolina Finance Adjusters Association

Email: Aautorec@aol.com