Application Form

cma1

 

Membership Application

To enroll, print this page and complete  the form. Then mail it with your check (payable to Chicago Memorial Association) to the address below.

[__] Individual Membership: $30.

[__] Family Membership includes spouse/partner and children under 18: $40.

[__] Transfer Membership from a group in another city: $15.

[__] Enclosed is an additional $_______ contribution to the CMA to help support its consumer education programs.

Please print legibly. List full names for all adults and ages for children under 18.

Name(s)____________________________________

___________________________________________

Address____________________________________

___________________________________________

City/State/Zip_____________________________

Phone______________________________________

E-mail Address_____________________________

How did you find out about the CMA? ____________________________________________

[__] Please mail a copy of the CMA brochure to:__________________________________________

______________________________________________________

______________________________________________________________

©Chicago Memorial Association 2017

2 thoughts on “Application Form

  1. I’m mailing in my individual membership application today. I’m interested in contacting a funeral director regarding direct burial in Rosehill Cemetery.

Leave a Reply

Your email address will not be published. Required fields are marked *