2013 Membership Dues Application
The Puget Sound Finance Officers Association is a group of financial officials with an interest in government finance issues. We hold monthly educational and training sessions to keep abreast of current issues affecting governments in the greater Puget Sound region. Our mission is to provide current information, improve government finance, foster closer relations and provide for the exchange of information between governmental finance officials and employees.
This notice is your invoice for your organization’s 2013 PSFOA Membership Dues.
The dues structure for PSFOA is one fee for each organization based on population and/or type of membership as noted below. Please check the appropriate box and remit the appropriate amount:
Per Organization
[]Town or City with population less than 10,000$ 25.00
[]Town or City with population between 10,000 and 30,000$ 50.00
[]City with population greater than 30,000$100.00
[]Department/Division of State or County$ 50.00
[]Non-governmental Associate Member$ 75.00
[]Other Political subdivisions$ 50.00
Below, please indicate your organization’s contact information and a key “contact individual” that we can e-mail monthly meeting notices to and make inquiries for information to be published in our Membership Directory:
Entity Name:
Address 1:
Address 2:
City:Zip:
Telephone Number:
Fax Number:
Contact Individual:
Title:
Telephone Number:
Fax Number:
Email Address:
***On the 2nd page of this form, please list all members who should be receiving e-mail meeting notices.***
TWO WAYS TO PAY!
- FAX, MAIL OR EMAIL APPLICATION TO and PAY WITH YOUR CREDIT CARD ONLINE AT
- RETURN A COPY OF THIS APPLICATION WITH YOUR PAYMENT MADE PAYABLE TO "PUGET SOUND FINANCE OFFICERS ASSOCIATION” BY FEBRUARY28, 2013 TO:
Eric Christensen | Director of Finance & Human Resources
Meydenbauer Center | 11100 NE 6th Street | Bellevue Washington 98004
P: 425.450.3760 | F: 425.637.0166
Name / Title / Phone Number / Fax Number / Email Address