MEMBERSHIP APPLICATION

To apply for membership please print this page, complete the following information and mail
or bring to the next meeting. 

EMPLOYMENT COALITION OF FLORIDA, INC.
PO BOX 100043
Fort Lauderdale, FL 33310

  Remember that the $20 per year dues are tax deductable.

Date: _______________________________

Name:_______________________________   Position/Title: ___________________________

Organization: ________________________________

Address:____________________________________

City: _______________________________________  State:_____   Zip:_________________

Work Phone: ___________________________  Home Phone:__________________________

FAX:______________________ E-mail Address:_____________________________________

GOALS OF YOUR JOB:___________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________
PLEASE INDICATE AREAS OF INTEREST:

       MEMBERSHIP
       PUBLIC RELATIONS
       TRAINING & EDUCATION
       LEGISLATION, RESEARCH, & ADVOCACY
       FUN-RAISING (YES, FUN RAISING)
       BUSINESS RELATIONSHIP DEVELOPMENT       

Tell us you would like to join here.

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