Join Today

Please fill out the form below. If you would rather fax in your membership, please download the application here.

Company Information

Facility Name (required)

Contact Name (required)

Title (required)

Address (required)

City (required)

State (required)

Zip (required)

Phone (required)

Fax (required)

Email (required)

Website (required)

Complimentary Associate Listings

If you have additional staff that you would like us to add to our database, so that they receive our newsletters and legislative briefings, please list them below.

Associate #1 Name

Associate #1 Title

Associate #1 Email


Associate #2 Name

Associate #2 Title

Associate #2 Email


Associate #3 Name

Associate #3 Title

Associate #3 Email

Association Involvement

I am interested in becoming more involved in the following areas:

Grassroots Efforts

On occasion, we will reach out to members regarding action on an issue affecting Freestanding Emergency Centers. Your responses below will assist us in these efforts.

Do you know your State Representative and/or State Senator? (required)
YesNo

If so, would you be willing to contact them regarding legislative issues and initiatives on behalf of the association? (required)
YesNo

Investment Dues

We will contact you with Investment dues after submission of the application form.

To ensure fair representation and equity for all members, all facilities owned by one entity must join and pay separate dues.

Annual dues may be deductible as professional or business expenses to the extent allowable by law, except for the percentage used for the lobbying activities of the association. Please contact info@108.167.152.255 for the current percentage. Dues and other contributions to local, state or national associations are not deductible as charitable contributions for federal income purposes.

Subscribe to our newsletter and mailing list

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TAFEC Headquarters

208 West 14th Street
Austin, Texas 78701

Phone: 800-921-0332
Fax: 512-494-0213

 

TAFEC-website-logo  

For Media Inquiries

info@tafec.org
Phone: 512-288-4054