CFDA Regular Member Application

Application is herewith made for membership in the California Funeral Directors Association. The following information is provided as a basis for membership classification to determine membership fees. The $250.00 application fee must be paid by the applicant prior to consideration for membership by the Board of Directors of the Association. The undersigned, if accepted as a member, agrees to observe and abide by the rules of the Association as set forth in the Bylaws and the Code of Ethics.

Firm Name:*

Managing Funeral Director:*

Site Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mailing Address (If different from site address):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Establishment License No.:*

Managing Director's License No.: *

Phone Number:*

Please enter a valid phone number.

Fax:

Please enter a valid phone number.

Email*

example@example.com

Website:

This firm is:*

Sole ProprietorshipPartnershipCorporation

This firm provides the following services:

Do you or your staff have any talents that would be helpful to CFDA? ie: Musical, Entertainment, Graphic Design.*

Do you have a financial interest as an owner, stockholder, or a trust beneficiary in another licensed location other than the establishment listed above?

YesNo

If yes, please name establishment(s), location(s) license number(s):

Does any other licensed funeral establishment(s) have financial interest in this location?

YesNo

If yes, please name establishment(s), location(s), license number(s), and percentage (%) of ownership:

Does your firm own a Cemetery or Crematory? Please list all that apply:

California Funeral Directors Association

Code of Ethics

IN ORDER TO FOSTER AND PERPETUATE HIGH ETHICAL STANDARDS IN THE FUNERAL SERVICE PROFESSION, EACH MEMBER OF THIS ASSOCIATION HEREBY PLEDGES TO ADHERE TO THE FOLLOWING RULES OF PROFESSIONAL CONDUCT:

To set an example of good citizenship by honesty and fairness in all dealings.

To perform all services in a dignified and respectful manner.

To respect the confidence of each family served.

To be ever mindful of the welfare of co-workers.

To observe all public health laws and support enactment of all just laws pertaining to the mortuary profession.

To encourage the advancement of all facets of funeral service.

To extend any assistance necessary in offering service in individual cases of actual hardship.

To conduct all services in a manner that will assist in meeting the needs of the decedent, both religious and personal of all those served.

To cooperate and deal fairly with other funeral directors.

A $250 APPLICATION FEE MUST BE SUBMITTED WITH YOUR APPLICATION

Membership Terms:

Membership terms coincide with CFDA's fiscal year, July 1 - June 30.

Upon approval by the CFDA Board of Directors, new members will be invoiced the appropriate membership fee. Funeral Home members pay annual dues totaling $250 + $1.80/case load based on the prior calendar year's case count. Your application fee will be credited to this amount due. New Funeral Homes with no case history are only responsible for the $250 base fee in the first year of membership. Non-approved applications will be issued a refund minus a $75.00 administrative fee.

Dues renewal will be billed in advance of the July 1 due date.

Signature*

Signature Date:*

Date

Name:*

Title:*

Regular Membership Application FeeEnter description

$250.00 Quantity
Item subtotal:$0.00

Total

$0.00

Payment Methods

Credit Card

Google Pay

Cash App Pay

CFDA Regular Member Application

Contact Information

Payment Methods