MEMBERSHIP APPLICATION
APPLICATION FOR MEMBERSHIP
FRIENDS OF LAKE JACKSON, INC.
Name of Applicant: _______________________________________
Mailing Address: _______________________________________
_______________________________________
Telephone Number: ___________________
FAX Number (if any) ___________________
E-mail address ___________________
Please return Membership Application with first year’s dues of $20.00 per voting membership requested to:
Friends of Lake Jackson, Inc.
c/o Treasurer
1721 Paula Drive
Tallahassee, FL 32303
For the planning purposes of the corporation, please indicate areas in which you are interested in working, together with any other comments that you wish the Board of Directors to consider.
Interested in Following Committee Assignment(s):
___ Membership Committee
___ Technical Committee
___ Governmental Liaison Committee
___ Public Information and Education Committee
___ Grants and Funding Committee
___ Public Relations Committee
Special Qualifications you may have to assist in Corporate Purposes:
Other areas of interest in Corporate Purposes:
Suggestions or Requests for Corporate Projects:
Officials with whom you are willing to discuss Corporate Positions: