Funeral Consumers Alliance of San Mateo and Santa Clara Counties

(formerly Funeral and Memorial Planning Society)

Last revised
Febrauary 17, 2008

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FCA Membership Application

Call (650)321-2109 if you have any questions.

The following person(s) wish to become a lifetime member(s) of the Funeral Consumers Alliance of San Mateo and Santa Clara Counties.

Name #1 Birth Date

Name #2 Birth Date

Mailing Address:

City: State: Zip Code:

Email Address:

Your phone number
(with area code):

Will this be a new membership or are you transferring from an affiliated organization?
New membership (fee is $50.00. Planning forms and explanatory literature will be sent to you via US mail.)

I wish to transfer membership from an FCA affiliated organization. (Transfer fee is $10.00. Please send a transfer letter or membership card from the other group to our office at the address listed below. Our planning form will be sent to you via US Mail.)

I will send a check for $50.00 for each new membership or $10.00 for each affiliation transfer made out to

Funeral Consumers Alliance of SM & SC Counties
P.O. Box 60448
Palo Alto, CA 94306

Yes
No

(We are in the process of acquiring a "secure webserver" which will allow us to process credit card payments in the future. If you wish to process this membership payment by credit card, you may call the office and speak directly with FCA staff.)

We always welcome your questions and comments.

Funeral Consumers Alliance
463 College Avenue (P.O. Box 60448)
Palo Alto, CA 94306
(650) 321-2109 phone and fax
Send email to FCA's Office Manager.
office hours: Mon - Wed 9 a.m. to 12 p.m.

Copyright © 2000-2008 by the Funeral Consumers Alliance of San Mateo and Santa Clara Counties.