| 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? |
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| 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: 6 + 1 = ? |
|
| Please provide us with a copy of your ship repairers’ liability (SRL), or general liability certificate. |
| |
|
