Membership Application

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COPPER CHAPTER MEMBERSHIP APPLICATION
Thank you for your interest in NIGP Copper Chapter membership. Please complete the following
membership application and return the application along with your $40 check made payable to
Copper Chapter NIGP to: Diana Kerfoot, CPPB, VP Membership, at the Tucson Unified School
District – Purchasing Deprtment, 1010 E. 10th St., Building B. Room 272, Tucson, AZ 85719.
Name:
Certifications (CPPB,
CPPO, C.P.M., etc.):
Are you a member of NIGP National?
Job Title:
Email:
Agency Name:
Agency Address:
City, State & Zip:
Phone:
Fax:
What commodities/services do you generally procure?
I certify that I am not regularly engaged in selling, the solicitation of orders, or in charge of, or
responsible for sales (does not include the incidental disposal of scrap, surplus stock or equipment of
the concern by which applicant is employed).
Signature
THANK YOU!
Date
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