Membership Form

Independent Funeral Directors Association, Incorporated

(Applicants must complete ALL of the top portion and any other information that pertains to you)

General Membership Dues

State Dues Only - $200.00

National Dues Only (Send Directly to the National Office) - $450.00

National Dues - $400.00

State and National Dues $600.00

Membership Form

Title Preferences

Full Name

Primary Mailing Address

City

State

Zip Code

Home Phone

Cell Phone

Fax

Primary Email Address

Date of Birth

Free Text

Emergency Contact

Full Name

Phone

Free Text

Membership Information

Primary Duty

Full Name

Licensed Mortician's Number

Licensed Funeral Director's Number

Licensed Embalmer's Number

CFSP Certification Number

State of Issuance

Are you CPC Certified?

Company Name

Company Address

City

State

Zip Code

Phone Number

Fax

Lis Memberships in Other Funeral Professional Association and any Public Offices Held

COMPLETE STEP 1 BY CLICKING THE SUBMIT BUTTON. MAKE SURE YOU COMPLETE STEP 2 AFTER YOU HAVE SUBMITTED YOUR REGISTRATION INFORMATION. THE PAYMENT IS PROCESSED SEPARATELY.

Step 2: Securely Pay Membership Dues Online

MAKE A PAYMENT

About Us

Membership Form﻿

Membership Form

Step 2: Securely Pay Membership Dues Online

Membership Form