Membership - Renewal Form

  Printable Renewal Form (PDF format 23Kb)



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Name:
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Title:
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Representing:
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Mailing Address:
Address:
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City:
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State:
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Zip:
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Phone:
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Fax:
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Email:
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Membership Due January 1st each year


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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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