AzFMA Government Membership Dues - Additional Members ($35.00 per member) Annual Membership dues reoccur one year from date of payment. Amount (required) $ $35.00 For each additional member. Insert total cost in the total amount to be paid. Contact Information Email Address (required) Secondary Email Org / Dept (required) Title / Rank (required) First Name (required) Last Name (required) Phone Number (required) Street Address (required) City (required) State (required) Zip Code (required) Additional Members Paying for Additional Members (required) Yes No Additional Member #2 Additional Member #2 Email Additional Member #3 Additional Member #3 Email Additional Member #4 Additional Member #4 Email Additional Member #5 Additional Member #5 Email
