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Federation Membership Application/Renewal for Fiscal Year
(Please complete this form online, print out copy for your records (landscape mode) and then submit by
clicking submit button below. Please mail check with copy of printed form to address below)
  Association Name:  and address:    Date:
Position Name Address Phone/FAX (xxx.xxx.xxxx) E-mail
 President
 Treasurer
 1st Delegate
 2nd Delegate
 3rd Delegate
 Please indicate person and address above to send future membership renewals:  District?   Association Type?
 Number of Residences in Association:   Federation Dues:   Organization's web site:   Month new officers installed:
 1. Number of votes and dues are based on association size.
 2. Membership dues are from July 1 to June 30 of the following year. Separate invoices may not be mailed. To determine whether your association's membership is current check with the Federation Treasurer at treasurer @ fairfaxfederation.org.
 3. Mail application form and check to:
THE FEDERATION
Attention: Membership
P.O. Box 3913
Merrifield, VA 22116-3913
 4. Dues & Delegates
# of Residences Dues Voting Delegates
Under 100 $20 1
100-1000  $40 2
Over 1000 $60 3
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