2024 CCIM-WA Chapter Membership Form
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Membership #
Enter your Candidate/Designee# (if applicable)
Your Name
*
First Name
Last Name
Your E-mail
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Phone Number
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Address
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Designee/Candidate (Must be a dues paying member of the Institute -Enter Member # below)
$
120.00
(Affiliate not a member of CCIM Institute)
$
150.00
Student/Faculty
$
50.00
Chapter Affiliate (current chapter member of OR, AK, or BC)
$
25.00
Total
$
0.00
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