Florida Advisory Council on Military Education (ACME)
New Member Registration Form
 

NEW MEMBERS: Your membership will become valid upon receipt of your $25.00 annual fee. If you are paying early, please indicate the year in the MEMO blank of your check or money order. Otherwise, your membership will be applied to the current year.  Please send a check or money order to the address below. Sorry ACME cannot accept credit cards.

CURRENT MEMBERS: Please do no complete this form unless your information has changed. Send your annual fee to the address below. Your cancelled check or money order is your receipt.

Make payable to "ACME" , registration payment should be mailed to
ACME Treasurer
P.O. Box 3456, Riverview, FL 33568-3456
Federal Tax ID: 59-0687423

Please complete this form and press Submit.

Prefix:
 Other: Please indicate preferred title
First Name:
MI: Last Name:
Position Title:
(Limit to 45 characters)
Organization:
Telephone:
 Ext:
Fax:
 Ext:
Email Address:
Mailing Address:
City:
State:
Zip:
Can this information be included in the Florida ACME on-line member directory?
   
Yes:
No:

Please print a copy of your completed form before clicking on "Submit" and include with your payment.

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