NAMIC PFMM Application

NAMIC PFMM Application

Registration Policy | Questions / Support
* indicates required field


First Name
todo Last Name
todo Suffix‡
  ‡ (Jr., Sr., MBA, etc.)
Company Name: *  
Job Title: *  
Mailing Address: *  
Address 2:
City, State/Province *
Zip/Postal Code: *  
Country: *
Telephone: * (ex: (xxx) xxx-xxxx)
Email: *    


Were you referred by another PFMM?

If yes, please list his/her name and company.
List your educational experience, designation, association memberships and a short job description for your current position.
Check all the PFMM modules you have completed and include the date and location. Only modules you signed in for will qualify.

Dates and Locations

If you have registered for an event, you are subject to the terms and conditions of participation at this event as contained in the Event Participation Terms and Conditions found at and will be notified to such by the person completing this registration.