Tax Council of Fort Lauderdale Application Form

The Greater Fort Lauderdale Tax Council, Inc., Fort Lauderdale, Florida

Membership Application Form - to Renew or Create Your Membership:

Directions- Please complete the following by Sept. 10, 2011:
Make checks payable to: Greater Fort Lauderdale Tax Council, Inc.
$195 Regular member
A non-member/guest may attend one luncheon for $35

Fill in form online (please use Internet Explorer), click to PRINT PAGE. Mail form and check to:
Todd Heller
at 954-894-3046,
20900 NE 30th Ave., Ste 800, Aventura, FL 33180
Fax: 954-212-24250

Name:

Firm:

Address:



Phone No.:		Fax No.:

**Email Address:
	**(All notices will be sent by email unless otherwise advised)
Returning Member:		New Member:
Comments:

For additional information, please telephone Janet Buchanan at 954-713-6425,
401 East Las Olas Blvd., Suite130-413, Fort Lauderdale, FL 33301
or email at taxcouncil@bellsouth.net