Become a Member of the Florida Ocean Alliance

Please fill out the form below and print it.
Then mail the form with a check to:		 Florida Ocean Alliance
111 East Las Olas Boulevard
Askew Tower, Suite 709
Fort Lauderdale, FL 33301-2206

Choose one of the following options:

Corporate/Institutional Patron
Corporate Member
Corporate Associate
Government Associate
Nonprofit Member
Individual
Student

$2,500
$1,000
$500
$250
$150
$50
$10

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
Your Web site
Submitting this form provides us with contact information.
You must still mail a printed form and a check to become a member.