Program of Work
Application
General Information
Application Date:
Business Name:
Mailing Address:
Physical Address:
City::
State:
Zip:

Applicant Name:
Title:
Phone:
Fax:
Mobile:
Other:
E-Mail:
Website:

Designate Voting Member:
Alternate Contact:
Type of Business:

The annual dues investment is according to a schedule adopted by the Board of Directors.
According to the latest dues investment schedule, annual dues will be $250
($125 for non-profit organizations)
, plus a one time application and account set-up fee of $25.00 for a total of $275.00
 
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227 US Hwy 27 North, Sebring, Florida 33870 Phone (863) 385-8448 Fax (863) 385-8810
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