Join Now

EAF Membership Application
If you are a multi-state organization and are interested in membership in more than one state or nationally, please contact EAF for your membership options. All membership is subject to final approval by the president of EAF. Upon approval, you will be contacted by a representative regarding the payment process and options. Any dues and/or contributions made to EAF are not deductible as charitable contributions.
For Profit Organization dues are calculated at $5.95/per employee with a minimum dues payment of $695/per year and a maximum dues payment of $3150/per year. Non-Profit Organization dues are calculated at $3.15/per employee with a minimum dues payment of $495/per year and a maximum dues payment of $1575/per year. Multi-year discounts are available (10 to 15%).
For Profit Number of Employees * Required
Total number of employees within the state
Total Dues
# of employees X $5.95/per employee ($695 minimum/$3150 maximum)
Non-Profit Number of Employees
Total number of employees within the state
Total Dues
# of employees X $3.15/per employee ($495 minimum/$1575 maximum)
COMPANY INFORMATION
COMPANY NAME * Required
ADDRESS * Required
Street Address City State ZIP Code
WEBSITE * Required
AUTHORIZED CONTACTS
AUTHORIZED CONTACTS (Click the + symbol to add additional contacts) * Required
Prefix First Name Middle Initial Last Name Title Phone Email
OPTIONAL CONTACT (Corporate or Regional HR, Executive Management, etc., if applicable). Enter Company Name and Address if different from above.
Prefix First Name Middle Initial Last Name Title Phone Email
OPTIONAL CONTACT (Corporate or Regional HR, Executive Management, etc., if applicable). Enter Company Name and Address if different from above.
Company Name Address City State Zip
COMPANY STATUS
STATUS * Required
- Corporate
- Single Operation
- Division
- Private Sector
- Public Sector
INDUSTRY DESIGNATION * Required
- Accounting
- Fast Food/Restaurant
- Real Estate/Title Services
- Agriculture/Citrus Processing
- Government
- Retail
- Bank/Financial
- Healthcare
- Service
- Charitable/Religious/Social Service
- Hotel/Hospitality
- Tourism/Entertainment
- Construction
- Information Technology
- TV/Radio/Media
- Distribution
- Insurance
- Utilities
- Educational
- Manufacturing (Durable Goods)
- Veterinary Services
- Engineering
- Manufacturing (Non-Durable Goods)
- Other
Please describe the nature of your business
How did you learn about EAF? * Required
EAF MEMBER APPLICATION PROVISION
Acknowledgement
By completing and submitting this application/invoice for membership, you are agreeing to the provisions of membership as stated below. We hereby acknowledge that the information and data provided in the EAF publications is confidential and trade secret information that is owned solely and exclusively by EAF. In consideration for EAF's approval of our application and our access to the confidential and trade secret information provided in the publications, we, as an applicant for membership, hereby agree to hold such information in the strictest confidence, and not to disclose to any third party person, firm or corporation, either in writing or orally, without the express written authorization of EAF, any of the confidential information or trade secrets, or otherwise use this information in such a way that may destroy the confidentiality or secrecy of this information. We acknowledge that EAF authorizes us, as a member, to provide the EAF publications to certain third parties that may be hired for services relating to the operation of our business. We understand these third parties may use EAF's confidential and trade secret information in performing services for our organization only. We recognize we are required to notify the third party that the EAF confidential and trade secret information shall be used only for services provided by the third party to us, and the third party shall not disclose such information to any other person. We understand that we are not permitted to copy the EAF publications. We acknowledge responsibility for obtaining from the third party any EAF publications we provided the third party in performance of their services. I also understand that by providing my mailing address, email address, telephone number, and fax number, I consent to receive member communications via regular mail, email, telephone, and/or fax sent by or on behalf of EAF.
SIGNATURE * Required

Print your full name as your electronic signature
DATE * Required
MM slash DD slash YYYY

Prefix	First Name	Middle Initial	Last Name	Title	Phone	Email

Join Now

Application

COMPANY INFORMATION

AUTHORIZED CONTACTS

COMPANY STATUS

EAF MEMBER APPLICATION PROVISION