Official Membership Application

  
 Name (first)  Name (last) 
 Job Title
 Company
 Street Address
 City  State
Zip/Post Code
 Phone  / -  Fax / -     e-mail
Please choose the types of membership you wish to apply for: One Registration is included with your $195.00 donation; each additional registration requires an additional $45.00 processing fee.
RCMM Registered Contractor Mold Manager: This registration is designed for those in the building profession (General Contractors, Plumbers, Roofers, Drywall Contractors, Glazers, and HVAC etc.) to demonstrate knowledge in regards to mold related issues REEW Registered Environmental Expert Witness: This registration is designed for those who engage in the practice of providing expert witness testimony for either plaintiffs or defendants
RIAQM Registered Indoor Air Quality Manager: This registration is designed for those who own or manage residential, commercial or industrial fixed facilities. REIP Registered Environmental Insurance Professional: This registration is designed for those who are directly or indirectly involved in the delivering environmental related insurance products or services
RWP Registered Waste Professional: This registration is designed for those who engage in the management of hazardous or non-hazardous waste; including medical and radioactive RLM Registered Lender Member: This registration is designed for banks, credit unions, savings & loans, investment houses and those engaged in the financial industry
RMI Registered Mold Inspector: This registration is designed for those who engage in the practice of identifying mold at various levels RPM

Registered Professional Member: This registration is for those with an overall knowledge of environmental issues and have not chosen a specific field of expertise, rather a well rounded of multiple issues

RER Registered Environmental Real Estate Agent: The RER designation is for designed for those real estate professionals that wish to gain a deeper knowledge of how environmental issues effect the real estate transaction and for those who wish to show their dedication to environmental issues in the course of daily business. REC Registered Environmental Contractor: The REC designation is designed for those contractors who wish to gain a deeper knowledge of how environmental issues effect the construction trades and for those who wish to show their dedication to environmental issues in the course of daily business.
REA Registered Environmental Attorney: This classification of membership is designed for those attorneys who wish to be kept abreast of environmental legislation, new case decisions and the like.
Please Type Your Name Below, As You Would Like It To Appear On Your Membership Certificate
 
Educational Background
Please check the higest level Attained
  
Work Experience
Years Type of Experience
Related Certifications
List any related certifications held
I certify that the information contained in this application is correct to the best of my knowledge, and I agree to indemnify and hold harmless the Environmental Education Foundation, the Board, and those affiliated with the Foundation and its programs. I understand that the Environmental Education Foundation reserves the right to revise renewal requirements.
Method Of Payment
Check - Please note that if paying by check we will hold your application as pending until funds are received and cleared

Mail To:

Environmental Education Foundation
724 East Iris Drive
Gilbert, Arizona 85296

Credit Card Credit Card Number
Expiration Date
Copyright 2003 Environmental Education Foundation