The
Florida Association of Legal Videographers, Inc.
Name: ______________________________________________________________________
Mailing
Address:
____________________________________________________________
City/State/Zip
_______________________________________________________________
Home
Phone: (
) ___________________________
Office Phone: ( ) ___________________________
FAX:
(
)
___________________________
E-Mail
Address:
________________________________ wEB
SITE:________________________
Years
Involved in Legal Videography:_______
REFERRED
BY (IF APPLICABLE):
____________________
I,
_____________________________________, Have Enclosed my Check or Money Order
Signature
(Made payable to The Florida
Association of Legal Videographers, Inc) In The Amount of $12.00 For My One Year
Membership Dues. please forward to the associations address above.
Note:
The Board of Directors reserves the right to accept or deny membership
application. If denied your full membership DUES will be
refunded.
Membership
belongs to the registered individual and is non-transferable