Membership Application

To sign up by mail!
The membership application for the Academy of Hazardous Materials Management North Star Chapter is available in .pdf format. Please fill this form out and return to the address listed on the form, along with your membership payment.

To sign up on-line!
The ACHMM - North Star Chapter now accepts membership applications on-line using PayPal. Please fill out the form below and then continue to PayPal payment processor.

	Membership Application
	Name:
	Title:
	Certification Level:	MASTER     SENIOR
	CHMM #:
	Address Type:	HOME     BUSINESS
	Company Name:
	Street:
	City:
	State:
	Zip:
	Phone:
	Fax:
	Email:
	Membership Agreement The applicant applies for membership in the North Star Chapter of the ACHMM and certifies that all statements made in this application are correct and, if elected to membership, agrees to abide by the Code of Ethics. Signature: Date:

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