Tuesday, March 09, 2010  

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Membership Application

Membership dues are $75.00 annually.

Please mail Membership Form or Renewal Form with a $75.00 check payable to "Community Association Network, Inc."


TO:  

Gelcys Azuero
c/o Berenfeld Spritzer Schechter and Sheer, P.A.
2525 Ponce De Leon Blvd - 5th Floor
Coral Gables, FL 33134
 

New members may complete the form below. Please note that this form is for PRINTING ONLY. It cannot be e-mailed to us. You may complete the form online then print by clicking the button below.

Community Association Network, Inc.
Membership Application

Date:  

3/9/2010

Membership #:  


Name:  


Business Name:  

Business Address:  



Home Address:  





Home Phone:  


Business Phone:  

Home Fax:   Business Fax:  
Home E-mail:   Business E-mail:  

Preferred E-mail:

Home Business

Professional Affiliations:  

How did you hear about CAN?:  
Skills you are willing
to share with CAN:  

Committee Service of Interest:  

Membership Programs Education Other

Sponsor Name:  



Applicant Signature:  

_________________________________________________________

Membership dues are $75.00 annually.

Please mail Membership Form with a $75.00 check payable to "Community Association Network, Inc."


TO:  

Gelcys Azuero
c/o Berenfeld Spritzer Schechter and Sheer, P.A.
2525 Ponce De Leon Blvd - 5th Floor
Coral Gables, FL 33134
 
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