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AGENCY MEMBERSHIP APPLICATION (October 1, 2018, September 30, 2019) New York Association of Alcoholism & Substance Abuse Providers, Inc. (518) 4263122 Fax: (518) 4261046 Email: slafountain@asapnys.org

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How to fill out agency membership application form

01

Read the instructions carefully before starting.

02

Provide accurate and up-to-date personal information in the required fields.

03

Enter your agency's name and contact details accurately.

04

Attach necessary supporting documents, such as proof of agency registration or certifications.

05

Fill out all the sections of the application form, including the membership type and payment details.

06

Review your application to ensure all information is correct and complete.

07

Sign and date the form at the designated place.

08

Submit the completed application form along with any required fees or documentation to the relevant agency.

Who needs agency membership application form?

01

Individuals or organizations who are interested in becoming members of the agency.

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