Membership - Online Application

* = Required Fields
Name:
*
Title:
*
Representing:
*
Municipality   County   State   Federal   Other   *



Mailing Address:
Address:
*
City:
*
State:
*
Zip:
*



Phone:
*
Fax:
*
Email:
*



Years in current position: *

Years in Governmental fleet operation: *

Total number of years in fleet operations: *



Type of application: New   Regular   Associate   Affiliate   *

Membership Dues: Membership Dues: Sending in mail   Will pay at next conference   *


Please enter the code to continue.



Regular Members: Governmental employees whose primary responsibilities include administration and/or management of fleet operations – Annual Dues $50
Associate Members: Governmental employees whose responsibilities are directly related to and/or support fleet operations – Annual Dues $50
Affiliate Members: All others who wish to support the Association, including those who provide goods and services to fleets – Annual Dues $80
Honorary Members: Regular, Associate, and Affiliate members who have retired in good standing and are approved by the general membership – No Annual Dues



Please provide all information requested above and return with your Annual Dues in check or money order payable to FLAGFA. Mail to:
Chris Grunder, FLAGFA TREASURER
2601 Vista Park Way
West Palm Beach, FL 33411
Telephone: 561-233-4564
Fax: 561-233-4584
e-mail: cgrunder@pbcgov.org
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