Florida Association of Educational Office Professionals

APPLICATION FOR AFFILIATION

2011-2012

ANNUAL AFFILIATION FEE: $20.00

Full Name of Association ________________________________________

Number of FAEOP Members _____ Number of Local Members _____

Type of Organization ( ) Local ( ) County ( ) College ( ) Other Please list the names and addresses of the contact person (President) and three (3) other members of your association who are members of FAEOP.

President _____________________________ Address _______________________________

E-mail address ________ Phone: Office _________ Home________ SunCom________ FAX _______

1. Member _______________________________ Phone _____________

Address ______________________________ Zip _______________

2. Member _______________________________ Phone _____________

Address ______________________________ Zip _______________

3. Member _______________________________ Phone _____________

Address ______________________________ Zip _______________

Advisory Council Delegate ________________________(Must be a member of FAEOP)

Address _____________________________________ __________________________

_____________________________________ __________________________

E-Mail Address _____________

Phone: Office ________ Home _________ SunCom ________ FAX _________

Signature of President _______________________ Date ___________

MAIL COMPLETED APPLICATION TO: BEVERLY DUFRESNE, TREASURER,11324 HUGGINS STREET, LEESBURG, FL 34788, WITH YOUR CHECK MADE PAYABLE TO FAEOP