Vendor Membership Application

If you would like to submit a Vendor Membership Application by mail, click on the form below and print

 

Fill out the Vendor Membership Application online:

Name of Vendor
 
 
Mailing Address
 
 
Phone Number
 
 
Fax Number
 
 
Email
 
 
Contact Person
 
 
Contact Person Phone
 
 

Dues

Vendor dues are $75.00 per year payable on or before January 1st each year to:
Public Cemetery Alliance
P.O. Box 494
Gridley, CA 95948
Types of Products or Services