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Main Page
About Us
Membership
Hot Topics (Blog)
Leadership Team
Events
Contact
Please Fill Out All Information
Membership
*
New Member
Renewing Member
*
Indicates required field
Membership Type
*
Individual Center ($35)
Individual Non-Profit Senior Ctr. ($35)
Individual Staff ($35)
Value Membership ($105)
Non-Profit ($35)
Small Business ($125)
Corporate ($500)
Senior ($15)
Student ($15)
Individual Senior Centers, non-profit senior centers, and staff members may join for $35. (Voting) Value membership provides organizations with more than 3 centers or staff members with an accessible membership option. (Voting) All other memberships are considered "Friends of FASC" and are non-voting memberships.
Organization
*
Please notate your organization's name as it should be registered in our records. This may be a Senior Center, Council on Aging, Municipality, etc...
Contact Name
*
First
Last
Please identify who your organization's Point of Contact should be.
Email
*
PSA Number
*
1 - Escambia, Santa Rosa, Okaloosa, Walton
2 - Gadsen, Calhoun, Taylor, Madison, Franklin, etc...
3 - Suwannee, Columbia, Putnam, Marion, Citrus, Hernando, etc...
4 - Duval, Baker, St. John's, Flagler, Volusia, etc...
5 - Pasco, Pinellas
6 - Polk, Hillsborough, Hardee, Manatee, etc...
7 - Seminole, Orage, Brevard, Osceola, etc...
8 - Sarasota, Lee, Collier, Hendry, etc...
9 - Martin, Palm Beach, Okeechobee, etc...
10 - Broward
11 - Miami-Dade, Monroe
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
After submitting your application, a representative of FASC will contact you to accept payment by phone, usually within 24-48 hours. Thank you for your membership, and all you do for the seniors of Florida!
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