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MS Cemetery, Cremation & Funeral Assoc Dues - 2024

Mississippi Membership Application (2024)

MSCCFA

LaDarion Ammons

200 N. Congress Street, Suite 403, Jackson, MS 39201

(601) 398-2281

Membership Type

Membership Type*

Join
Renew

Dues

Select an Option*

MSCCFA Member ($150.00)
You own/manage one or more of the following:
Cemetery, Funeral Home, Crematory, or a combo on any.
Assoc Member ($75.00)
You own/manage a church or municipal cemetery.
Supplier Member ($75.00)
You are a vendor or supplier for the cemetery, funeral and crematory industry.

Add Additional Member

Additional Member ($75.00)
Members in the same district

*MSCCFA MEMBERS*

You own/manage one or more of the following:

Cemetery ONLY

Cemetery/Funeral Home

Cemetery/Funeral Home/Crematory Combo

Funeral Home ONLY

Personal Information

Full Name*

Company Name*

Address*

Email*

Phone Number*

Website*

Membership Details

Please take a moment to fill out the pertinent info about your company.

Average Annual Interments

Average Annual Funerals

Type of Cemetery

Perpetual Care

City

Church

Trust Based

Convenience Fee

$0.00

Running Total

$0.00

Coupon Code

Total

$0.00

Billing Information

Name*

Payment Method

Credit Card
Mail In Check (Checks payable to MSCCFA)

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Mobile Phone Number*

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