MEMBERSHIP APPLICATION

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Annual Membership Application























































  • 50 words or less.

  • Price: $35.00

    Membership dues are $35.00 per year. New memberships received after September 30th will be considered paid in full for the remainder of the current year and the forthcoming year.

    By completing this Membership Application and submitting your payment online, you are certifying that your organization provides health and/or human services in Brevard County, Florida.

    If you have any questions regarding membership or your membership application, please contact Kathi Ridner, president
    321-751-6771.