COCHMM Membership Application

($50/Year) Certified Member (CHMM, CHMP, or HMMT credential)
($50/Year) Professional Member (10 years relevant experience, bachelors or higher degree count as 4 years, associates degree as 2 years)
($50/Year) Associate Member (stakeholder in the hazardous materials industry.
($80/Year) Business/Corporate/Organization Membership (includes 2 individuals)
($20/Year) Student Membership (full-time student)
First Name  
Last Name  
Company  
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Email  
Address  
 
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Home Phone  
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Cell Phone  
Membership ID (CHMM or CHMP)   * Note: you are not required to be a certified CHMM to join our chapter.

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Checks payable to COCHMM. Provide to a COCHMM board member or mail to:

COCHMM
Phil Slaiman, COCHMM Treasurer
5323 Carina Court
Hilliard, OH 43026