ACFE Central Indiana Chapter

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$35 Regular Membership
$45 Associate Membership
ACFE Central Indiana Chapter #52
c/o David F. Fink, CPA, CFE
7043 North Delaware
Indianapolis, IN 46220

APPLICATION FOR MEMBERSHIP
The annual dues for the ACFE Central Indiana Chapter is $35 for CFE’s or $45 for non-CFE’s (Associate Status).  Dues are paid on a calendar year basis and are not pro-rated.  Students and Educators chapter memberships are free for those that are National ACFE members.  We are non-profit organization. 

PERSONAL INFORMATION
Name, address, telephone, email address (email address required)






Type of application:  


Are you currently: 


National CFE, Associate Member, Educator, or Student Member Number:



If you have a National membership application pending, please describe.





Are you joining as an Educator or Student ?:  

Name of college or university: 

Other Professional Associations, Designations and Certifications (optional): 


Professional reference (for new chapter member):




Current employer, position, title, address & telephone (required for new chapter members):





Prior position and employer (new chapter members)::  





I certify that the above is true and correct to the best of my knowledge. I have never been convicted of a felony offense. Falsification of any information is grounds for denial or revocation of Membership. If this application is accepted, I agree to abide by the Bylaws and Code of Professional Ethics of the Association of Certified Fraud Examiners. Membership is a privilege and not a right.

Typed electronic signature and date of applicant: 




(Applications are approved by the Chapter’s Board of Directors. Approved applicants will be notified promptly thereafter and all disapproved applications will be returned to the submitter, with their dues check)

IMPORTANT: Do not "Submit" this form until you have purchased a Regular or Associate Membership by credit card or PayPal by clicking one of the buttons on the right.  If you prefer to pay by check, please copy the form and mail it to the address above with your personal or business check. Student and Educator chapter memberships are free to those with National ACFE membership.
Pay with a credit card. 
No PayPal account necessary.

Use this form to pay your annual dues or join the chapter.  
$35 Regular Membership
$45 Associate Membership
Renewal membership; New chapter membership
CFE; Associate memberEducatorStudent
Educator; Student member