Payment and Dues

The following page is for Voting & Associate Members of the NAFMNP organization to pay full or partial dues. Before using this page you or your representing party would have received an invoice prior to filling out this page. If you have not received an invoice please contact us for information on obtaining one so that you may use this to pay your dues.

Note: Before you begin please locate the Invoice Number located on your invoice. You will need this number to complete the form and pay your dues.

* Required

Your Information

Member Status *

Voting Member

Associate Member

First Name *

Last Name *

Please provide the your name for reference of who is filling out and paying for the dues today.

Agency or Party If you are the assigned person responsible for paying the dues for your Agency or Party please let us know who the Agency or Party you are paying for here. If you are representing yourself you may skip this.

Address *

City *

State *

Zipcode/Postcode *

Country *

Phone Number *

Email Address *

Amount

Invoice Number * Please provide the Invoice Number located on the top of the invoice mailed or emailed to you. ** 6 digit number **

Full or Partial Payment? *

Full Payment

Partial Payment

In some cases partial payments must be made due to a daily spending limit on the source of funds being used. If you are paying towards the full amount please indicate above so that it may assist us with keeping up with the total amount.

Please select the amount you wish to pay:

$100

$300

$600

$900

$1250

$1500

Other (please enter below)

If you choose other in this field please insert your own amount in the field below.

Other Amount

Please enter the amount you would like to pay today.

Payment Note Please include any other relevant information. For example, if this is payment for a conference registration, you may include that here.

Payment

Billing Address *

City *

State *

Zipcode/Postcode *

Country *

Card Type *

Name on Card *

Card Number *

Card Expiry *

Month

Year

CCV Number *

Amount *

Membership

NAFMNP Voting & Associate Members Fees