Please use our downloadable PDF form to submit your renewal or membership via fax or mail.

FCRA Membership Application (261 KB)

PLEASE NOTE: If your occupation currently involves cancer registry work, you must apply for membership in the active category; you may not elect to become an associate, inactive or student member.

MEMBERSHIP CATEGORIES:
ACTIVE: An ACTIVE member shall be a resident of Florida, a CTR or person who is involved in any facet of the cancer registry work and who has paid current dues. An active member in good standing shall be entitled to all membership privileges, including the right to vote, hold office, or chair a committee.

ASSOCIATE: An ASSOCIATE member shall be any person interested in FCRA who has paid the dues and who does not meet qualifications for ACTIVE member. An associate member shall be entitled to vote but not hold office or chair a committee, but may be appointed to serve on a committee. This membership includes CTR's who are no longer active in the field.

HONORARY: A person who has made a significant contribution to the profession of cancer registry administration or has rendered distinguished services in the profession or its related fields may be elected to HONORARY membership by unanimous vote of the membership. His/ her name is recommended by the Executive Committee. (Exempt from dues.)

HONORARY LIFE: Past Presidents shall automatically become HONORARY LIFE MEMBERS upon retirement from the registry profession. They shall retain all privileges of active membership. An exempt status for paying dues is awarded in recognition of those FTRA Presidents, who served during the early start-up years of 1978 through 1982.

CHARTER: A member who joined within one year of adoption of the original By-laws shall be designated as a CHARTER member. A CHARTER member may pay their dues as an active member or as an associate member.

MEMBERSHIP FEES:
ACTIVE: $25
ASSOCIATE/STUDENT: $15

1. Print out the FCRA Membership Application (link) and fill it out.
2. Make your check payable to FCRA with appropriate fee and send along with the completed application via USMAIL to the current Membership Chair:
   
   Ana Ruiz, CTR
   6860 SW 45th Ln #8
   S Miami, FL 33155

These documents are in PDF format and can be downloaded and printed from your computer. You will need Adobe's Acrobat Reader to view or print these documents.

Download it here for free.