Join FSOSW

Membership Application


*Please provide your work information for our membership directory, even if you prefer to receive mailings at your home address.
Name of Company
Address:
City
State
Zip:
Primary Contact
Telephone
Email Address:

Additional Contacts

Contact Name
Telephone
Email Address:
Contact Name
Telephone
Email Address:
   
Membership type Regional $250.00 Supporting $500.00 Sustaining $1,000.00 3 Year $2,500.00
 
FSOSW maintains the right to deny membership to any oragnization, which in the board's opinion, does not align with the organizations missions and/or goals.
 
Please mail the check payable to FSOSW to PO Box 837, Hallandale, FL 33008
Thank you