AAFCS Certification Maintenance Form
Complete this Certification Maintenance Form to maintain your active CFCS status or use the interactive version here. Type or print legibly in black ink. Complete this form and return with payment to: AAFCS Office of Certification, 400 N. Columbus Street, Suite 202, Alexandria, VA 22314 Phone: 703-706-4600 Fax: 703-706-4663

Name: (Last, First, Initial) __________________________________________________________

CFCS Number: __________________________        Certification Date: _____ / _____ / ________

Address: _______________________________________________________________________

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Certification Maintenance Fees
Please choose the appropriate maintenance fees according to the date of your submission.

 Certification Maintenance Annual Fee = $50.00 (if annual fee payment is postmarked or paid online by September 1)

  Certification Maintenance Late Fee = $25.00 (if annual fee payment is postmarked or paid online after September 1)

 3-year Certification Maintenance Fee = $150.00
 

Payment Options:
Check: Please make payable to AAFCS in US dollars.
Purchase Order: Number ________________________________	Annual Fee: $__________
Credit Card: VISA  MasterCard
Card #: _____________________________ Expiration: ____ / ____	Late Fee: $__________
Card Holder Name: _______________________________________
Signature: _______________________________________________                Signature is required for authorizing credit card payment.	TOTAL: $__________

 

Office of Certification
American Association of Family and Consumer Sciences, 400 N. Columbus Street, Suite 202, Alexandria, VA 22314

Please retain a copy of this form for your records.