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Contact us

Family Child Care Providers, Inc.

P. O. Box 277494 v Sacramento, CA 95827

v fccpinc@yahoo.comv www.fccpinc.org

2009 Membership Application

New Phone 916-504-9859

Name __________________________________________________Telephone___________________

Address ________________________________________________License #____________________

City ___________________________________ State _________________ Zip Code _____________

E-Mail Address _____________________________________________________________________

1.  Are you a New Member or Renewing Member?  New ________ Renewing ________

     ALL NEW MEMBERS must submit a new copy of their license.

2.  Would you like to make a contribution to the Scholarship Fund?  If so, please list the amount and make out a separate check for that amount.  $________ 

 

3.  Do you want your name, city, zip code, phone number & license number listed on the FCCP, Inc Web Site Referral Page?             Yes ________ No ________   You must sign here that you understand you Name, Telephone Number, Zip Code and License Number will be posted on the website.____________________________________

 

4.  You understand and acknowledge the terms of Article II:  OBJECTIVE AND PURPOSE of FCCP, Inc. as stated    

      in the Bylaws:

            Section 2.1  FCCP, Inc. is incorporated and shall be a non-profit organization promoting professionalism

                                 among all licensed family child care providers.

            Section 2.2  FCCP, Inc. shall promote quality child care services for the community.

            Section 2.3  FCCP, Inc. shall provide educational assistance on issues pertinent to quality family child

                                 care.

            Section 2.4  FCCP, Inc. shall establish and encourage a professional working relationship between family

                                 child care providers, parents, the community and government entities.

            Section 2.5  FCCP, Inc. shall participate with policy-making agencies (city, state and federal) to work for

                                 changes, modifications and implementation of standards necessary to provide quality home

                                 child care for all children.

     Yes ________ No ________

 

5.  Please mail this signed application, with a copy of your license, & check or money order made payable to:

Family Child Care Providers, Inc.

P. O. Box 277494 s Sacramento, CA 95827   916-504-9859

Membership Dues:  $30.00 Dues are good from January 01, 2010 through December 31, 2010 (Please allow 2 – 3 weeks for processing)

Scholarship Fund Contribution  $___________________  

            Referral Incentive                      $___________________       

            Total Amount Enclosed                $____________________

Member’s Signature: _____________________________________________ Date: _______________________

                                           This application WILL NOT be processed without your signature

___________________________________________________________________________________________

For Office Use Only

Check Number_______________  Amount_______________          Welcome Packet Sent________________________________

Receipt Book ______________ Number _________________          Web Site  ___________________________________________                     Membership Card/Receipt Sent________________________         Zip Code List ________________________________________ 

Membership List updated_____________________________            Newsletter List _____________________________________

 

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