Affiliate Member Application

Chapter Affiliate Member Application Annual Fee $75

If you are a current member of MPI and are looking for an opportunity to engage with over 400 members of the South Florida Chapter, the most effective and least expensive way is through our Affiliate Membership. Once we receive your completed form a Chapter representative will be in contact with you. We look forward to welcoming you to the MPI South Florida Chapter. Membership will be processed upon verification of your current MPI membership status.

As an Affiliate Member you will receive:

·  Invitations to all our educational and social events

·  Annual Membership Directory

·  Online member listing and access to the "Members Only" section of www.mpisfl.org

·  Monthly e-newsletter, Tropic Topics,and valuable information notices

·  Access to member-only advertising and sponsorship opportunities.

First Name:
Last Name:
Title:
Company:
Title:
Phone:
Fax:
Email:
Address:
City:
State:
Zip:
Primary Chapter Affiliation:
MPI Member #:
Renewal Date:
Credit Card Type:
Name of Credit Card:
Billing Address:
Credit Card Number:
Expiration Date: