Space Coast Advertising Federation
P.O. Box 361435
Melbourne, FL 32936
Join the Space Coast Advertising Federation Today!
Name
Company
Title/ Description
Address
City
State Zip
BusinessTel
Home Tel
Fax
E-Mail
NOTE: Not yet a member? There is a one-time application
fee of $20 in addition to the following
membership dues. Already a member? The application
fee does not apply to you.
Regular Membership
$100 per person
Associate Membership
$50 per person
Student Membership
$25 per person
I'm printing this
form and sending it to you.
I'm enclosing
a check for: $
List additional
members or associate members below.
Name 1:
E-mail:
Member
Associate Member
Name 2:
E-mail:
Member
Associate Member
Name 3:
E-mail:
Member
Associate Member
Please Print form and Mail at this time. Thank
you!