AFFILIATE INQUIRY FORM

Our association may wish to become an affiliate member of FACT.
Benefits in which we’re most interested:

Air Ambulance Discount Disaster Aid Program Job Search Program
Amusement Park Discounts Eye Wear Savings Medical Reference Service
Car Rental Discounts Eye on Washington Reports Medical Insurance
Classroom Grants FACTFinder Newsletter Muffler Discounts
Community Grants Free Road Maps Prescription Drug Savings
Consumer Hotline Hearing Care Program Scholarship Program
Consumer Library Hotel/Motel Discounts Travel Services & Savings
Dental Care Program Interstate Moving Discounts  

Additional Comments or Questions:


Approximately how many active members does your association have?
Association URL: http://
Does your association send out a newsletter/magazine? Yes
No
Do you currently offer a benefits program? Yes
No
Is your association a 501 (c)(3) non-profit? Yes
No
Name of Association:
Contact Name:
Address:
City:
State:
Zip Code:
Telephone:
Email:
Fax:
For more information, feel free to contact us at: 1-800-USA-FACT