APPLICATION/RENEWAL FORM

 (Print and send in)
 

The membership year begins October 1 and runs through September 30 (the federal fiscal year).
CACFP sponsers are voting members.
Non-voting memberships are accepted from individuals who wish to support the CACFP, receive newsletters and legislative action alerts.


Organization Name:
Representative's Name:
Address:
City:                                              State:                   Zip:
Representative's Email Address:
Phone: (     )                             Fax: (     )                             Date:
Number of Homes:              Number of Centers:             Head Start?     Yes     No

 

 

Check Your Level

     Sponsor of Family Child Care Homes                                 $50.00

      Sponsor of Child Care Centers                                          $50.00

             Individual non-voting member                                  $10.00

             Student                                                                                   

             Advocate    

             Child Care Provider

     Enjoy a discount and become a member of our partner organization,
        The California CACFP Roundtable, for an additional $10.
        Find out more about the Roundtable at www.ccfproundtable.org
 

 

Please make checks payable to:
National CACFP Forum
123 E. Powell Blvd.
Ste 300
Gresham, OR, 97030