Transferring Your Membership

Contact Information

CMAA Member's Name

Last Name

Membership Status

Membership Number

Previous Club

Previous Chapter

New Club

Title

Address

City/State/Zip

Phone

Fax

E-mail

Date of Birth

Phone

Spouse

Please send mail to my:
(select all that apply)

Club

Home

To be completed by the transferring member

I would like to transfer to the:

Chapter Name

Chapter as provided in Article III, Section 6 of the CMAA Bylaws.

Signature of Transferring Member:

Signature

Middle Check Boxes
(select all that apply)

Completed the form in its entirety.

Personally signed the request

Sent to the new chapter's Managing Director/Secretary for approval and signatures.

To be completed by the new chapter's Managing Director/Secreteary.

I certify that the above named is now a member of the:

Chapter Name

Signature

Bottom check boxes
(select all that apply)

Signed Above

Sent copy to National Headquarters

Sent copy to the previous chapter's Managing Director/Secretary

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Additional Information

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