MEMBERSHIP FORM

CFI-Florida 
5201 West Kennedy Blvd. 
Suite 124 
Tampa, FL 33609 

----------------------------------------

Yes! I want to be a Friend of the Center for Inquiry Florida. 

CHOOSE A MEMBERSHIP CATEGORY:

[ ]  Individual Member at $60 per year

[ ]  Family Membership at $80 per year

[ ]  Contributing Member at $125 per year

[ ]  Supporter at $250 per year

[ ]  Patron at $500 per year

[ ]  Benefactor at $1,000 per year


----------------------------------------

   Name: [____________________]

Address: [____________________]

   City: [____________________]

  State: [____________________]

    Zip: [____________________]

  Phone: [____________________]

  Email: [____________________]

----------------------------------------

 Charge my: [ ] MasterCard,  [ ] Visa

 Account #: [______________________________]

Expiration: [______________________________]

 Signature: [______________________________]

 - OR -


[ ]  Check or Money Order enclosed

Make checks payable to Center for Inquiry Florida and mail to:

CFI-Florida 
5201 West Kennedy Blvd. 
Suite 124 
Tampa, FL 33609 

You can also become a member by calling (813) 849-7571  
or Toll Free at (800) 398-7571

Membership Forms can be faxed to (813) 849-7572  

----------------------------------------

Contact Nan Owens for further information at (813) 849-7571 

Web Site: http://www.cfiflorida.org
E-mail: info@cfiflorida.org