Membership Application

Membership Application

Please fill our our form below and we will contact you as soon as possible. Questions? Contact: Bob Wood, Director of Member Recruitment (585) 330-5934 or Bob White, Secretary/Treasurer (585) 233-7225.
Requirements: 
Annual Dues: Jun 1-Nov 30 – $50; Dec 1-May 31 – $25
Copy of License (all pages)
Completion of Skills Assessment Survey
  • License Type

    (e.g., OUPV, 100GT)
  • Endorsements