Member Information

*Note - All individuals signing up for membership with FGPS will be automatically added to the mailing list. If you wish to opt out, please contact us through e-mail.

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* 1. Please provide your first and last name

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* 2. E-mail address (This information is used to send you a PayPal invoice for membership fees)

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* 3. Please provide a contact number

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* 4. Mailing address

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* 5. Please tell us your profession, license, and a brief description of your practice

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* 6. Would you be interested in presenting on a topic at an FGPS Lunch and Learn?

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* 7. Are you a member of AGPA?

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* 8. Do you know or were you referred by a member of the FGPS Board?

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* 9. If you answered yes to Question 8, please indicate the name of the Board member.

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