FLTA - Agents' Section Lobby Fund

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HELP YOUR TITLE INDUSTRY TODAY BY DONATING TO THE ASLF FUND NOW!

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Donation

* Mandatory fields

*Organization

*First name-

First & Last name should be related to the email address used for this profile

*Nick Name

Sue; Tom; Chuck; Liz; etc

*Last name-

First & Last name should be related to the email address used for this profile

Suffix

Jr., Esq., CLS, CLC, etc

*e-Mail

This is your LOGIN for this site and should BELONG to the person entered in the First/Last name fields

*Street Address

Bldg Name/Apt./Suite

*City

*State

*Zip

*Phone

*FL COUNTY- YOUR Office

We use this info to make sure you are invited to meetings held in your area

*I primarily work for:

The MAIN office

A BRANCH office

in order to invite you to functions in your area, we need to KNOW the COUNTY where you work, and if your company has branches, which one relies on you the MOST.

I prefer Vegetarian Meals when I attend an event

Clear selection

Yes

If this field is not answered, we will "assume" you do not have a preference

*Which Fund

*Amount ($USD)

Other

Chairmen's Club $1,000.00 (USD)

President's Club $500.00 (USD)

Ambassador's Club $250.00 (USD)

Gold Club $100.00 (USD)

Silver Club $50.00 (USD)

*Just one more question....

Is this a one time donation?

Would you like a monthly "reminder"?

Both?

Comment

Security check

* Code

Type the 6 characters you see in the picture

Email: Executive Director, Scott Merritt
Email: Executive Assistant, Jena Daly

Phone: 850-681-6422

Florida Land Title Association is a 501(c)6 non-profit organization.

Mailing Address:
Florida Land Title Association
P.O. Box 66145
St. Pete Beach, FL 33736