CFCBA Ambassador Membership Please enable JavaScript in your browser to complete this form.Name *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail *Occupation/ Job TitlePlease indicate if you would be willing to serve on a committee:YesNoIs there a specific committee you would like to serve on?Committees listed at the CFCBA website. https://www.capefearcraft.orgPhotographs of CFCBA members may be used in various CFCBA communications incl. the newsletter and website. Group photographs taken at CFCBA events may be used without identifying individual members. For individual photographs, please indicate your permission for use:CFCBA has my permission to use and identify photographs of me.CFCBA does not have permission to use and identify photographs of me.CFCBA must contact me before using any identified photographs of me in CFCBA communications.Captcha * = Ambassador Membership *Credit Card *Card NumberSecurity CodeName on CardExpirationMM123456789101112/YY2324252627282930313233WebsiteSubmit