Membership Form Please enable JavaScript in your browser to complete this form.Member 1 Name *FirstLastMember 2 NameFirstLastMember 1 Email *Member 2 EmailMember 1 Date of Birth OR Voter ID *Member 2 Date of Birth OR Voter IDMember 1 Phone *Member 1 - Enroll in text message communications *Yes! I want to receive text messagesNo! I do not want to receive text messagesMember 2 PhoneMember 2 - Enroll in text message communicationsYes! I want to receive text messagesStreet Address *City *State (if not FL)ZIP Code *Member 1 Type *Please select typePlease select typeFull - VotingAssociate - Non-VotingMember 2 TypePlease select typePlease select typeFull - VotingAssociate - Non-VotingN/AMembership Level *Please select levelPlease select levelStudent - $20Individual - $35Household - $60Booster - $70Sponsor - $115Benefactor - $515If Student, Name of SchoolMember 1 - Committee ChoicesAuditBylawsCommunicationsDevelopmentLegislativeMembershipPolitical ActionMember 2 - Committee ChoicesAuditBylawsCommunicationsDevelopmentLegislativeMembershipPolitical ActionSubmit
