Please enable JavaScript in your browser to complete this form.Louisiana Automatic Fire Alarm Association New Membership Application Approval Request Company Name *Person Submitting this request *FirstLastPhone *Nature of Business *Select One HereFire AlarmSprinklerSuppresionSpecial HazardsOther (Please enter into description below)Other Description Fill Out HereEmail *Business Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMembership type you wish to apply for *Corporate Member $250.00Indivudual Member $100.00Auxiliary Member $50.00AHJ Member $0Reciprocal Association MemberCORPORATE MEMBER Any corporation, company partnership or proprietorship who is a fire alarm system distributor, fire suppression system distributor, dealer contractor, or installer of automatic fire protection systems or component parts; engineering or architectural firms; end users; insurers or any other corporation involved with fire protection systems. – Annual Dues: $ 250.00 INDIVIDUAL MEMBER Any individual who is an architect, engineer, consultant, insurer, user, or person who cannot qualify for another class of membership. Only the individual is considered a member of LA-AFAA. - Annual Dues: $ 100.00 AUXILIARY MEMBER An individual who is an employee of a National AFAA Manufacturing or Corporate Member who wants to support the Louisiana Automatic Fire Alarm Association. –Annual Dues: $50.00 AHJ MEMBER An individual who serves as an Authority Having Jurisdiction (AHJ) in local, state, or federal government. This classification does not have voting privileges. –Annual Dues: $ 0.00 RECIPROCAL ASSOCIATION MEMBER An Association which subscribes to the purposes of the Louisiana AFAA, and which in the judgement of the Board of Directors, will be instrumental in achieving those purposes thru mutual membership. This classification does not have voting privileges. Note: Membership dues will be pro-rated at a rate of 25% per quarter for 1st – 3rd quarters remaining in the fiscal year. Applicants during 4th quarter will be required to pay full annual dues, which includes next year membership. The Louisiana AFAA fiscal year is January 1st through December 31st A Full Year membership is required to attend trainingseminars at “Member Discount”. Please Confirm Membership Type Selected *Select One hereCorporate Member $250Individual Member $100Auxiliary Member $50AHJ Member $0Reciprocal Member $0Membership Contact Information Primary Membership Contact Person *FirstLastTitle *Primary Phone *Primary Email (Will be used for all communcation) *Authorizations Liability Waiver *I release LAAFAA or Board Members from all liability and responsibility.Submit
