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TEAMFL APPLICATION

COMPANY INFORMATION
COMPANY NAME:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE :
FAX:
WEBSITE ADDRESS:
COMPANY LOGO (JPG):

Please upload an image of print quality (300 dpi).
Please give us a brief description of your company. (50 words)
 
PRIMARY COMPANY CONTACT
FIRST NAME:
Last NAME:
TITLE:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
EMAIL ADDRESS:

COMPANY ASSOCIATES TO RECEIVE NOTICES & INVITATIONS
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TYPE OF BUSINESS OR PROFESSION:
ARE YOU CURRENTLY DOING BUSINESS WITH EXPRESSWAYS OR BRIDGE AUTHORITIES OR TURNPIKE DISTRICTS?
     
TEAMFL MEMBER REFERENCE
FIRST NAME:
LAST NAME:
TITLE:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
EMAIL ADDRESS:
I(WE) DO HEREBY APPLY FOR MEMBERSHIP TO TRANSPORTATION EXPRESSWAY AUTHORITY MEMBERSHIP OF FLORIDA (TEAMFL). IN SO DOING, I(WE) AGREE TO PAY $1,500 PER YEAR FOR DUES PAYABLE ANNUALLY.

I also understand that by providing my mailing address, email address, telephone number and fax number, I consent to receive communications via regular mail, email, telephone and/or fax sent by or on behalf of TEAMFL and consent to this information being included in the TEAMFL Membership Directory.

Please mail the application fee by check to complete the application process.

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