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Donation Page

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Donation

* Mandatory fields
*Company Name
*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:
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.
Dietary restrictions
Clear selection
If this field is not answered, we will "assume" none.
*Confirm Donation to FLTA Charitable Action Foundation, Inc
*Confirm Contribution to Title Industry of Florida PAC
*Confirm Contribution to Agents' Section Lobby Fund
*Amount ($USD)
If choosing other, please specify corporate or individual in the comment box below.
Comment
 

If you prefer to use a check, please mail it to: 
FLTA
P.O. Box 66145,
St. Pete Beach, FL 33736

Florida Land Title Association is a 501(c)6 not-for-profit organization.

Copyright © 2013-2021. All Rights Reserved.

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

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