AzFMA Membership Dues - Three Members Annual Membership dues reoccur one year from date of payment. $105 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 #1 (required) Additional Member #1 Email (required) Additional Member #2 Additional Member #2 Email Additional Member #3 Additional Member #3 Email Pay Now