Member Registration

AFSA Schuylkill Chapter

Instructions

Please submit the following form to begin the member registration process.

Application Form

Contact Information







Address

Street




Mailing Address

Same as street?YesNo



Type of Business

Design & Installation (FS) ContractorResidential Installation (RFSC) ContractorManufacturer/SupplierSystem Design OnlyInsurance IndustryAuthority Having JurisdictionOther




Current Member

Are you a current member of the "National" AFSA in Dallas, Texas? YesNo

Registration Fees

  • Contractors – $250
  • Manufacturers / Distributors – $350
  • Auxiliary / RFSC – $250
  • AHJ – No Charge

Sponsors

advertisement advertisement advertisement advertisement advertisement advertisement