Membership Application

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Fill out the application below or download it.

Company Name*
Number of Employees*
First Name*
Last Name*
Birthday*  (mm/dd)
Address 1*
Address 2
City*
State*
Zip*
Telephone*
FAX
Cell
Email*
Website
Length of Ownership
Owners/Officers
Description
(50 words or less)
County Occupational License Number
Business Reference 1
Business Reference 2
Dues

More Information About Dues:
Examples of allied members: attorneys, banks, insurance, sign companies, interior designers, water filtration, upholstery, restaurants, accountants, etc.). Allied members will receive all membership communications, a member listing in the Boaters' Directory, which is mailed directly to all Palm Beach County registered boaters, and a listing on signage displayed at MIAPBC special events. There is no better way to let members of the marine industry know that your business is on their team.


Regarding Marine companies with unlimited employee membership communications:
Share yourstaff e-mail addresses with MIAPBC and we will ensure that each individual receives ongoing communication from their local trade association. They, and you, will receive invitations to attend seminars and training and education programs; have access to the "Members Only" section of the MIAPBC Web site; and more.

Business Classification
How did you hear about MIAPBC?
To what other trade associations do you belong?
How many years have you been in business in South Florida?
Can a representative from the membership committee visit your business?
MIAPBC Member Reference/Sponsor:
List additional employees whom you would like to receive e-mails from MIAPBC:
Name
E-mail Address
Name
E-mail Address
Complete: 2 + 10 = ?
Please provide us with a copy of your ship repairers’ liability (SRL), or general liability certificate.