Palm Beach County Sports Commission

Instructions

Please fill out the Membership Application below and send a check or money order for the completed amount to:

Palm Beach County Sports Commission
Attn: Membership Dept
1555 Palm Beach Lakes Boulevard, Suite 1410
West Palm Beach, FL 33401

Name:

First:

Last:

Organization:

* As it should appear in member listing of registered as a corporation.

Street:

City:

State:

Zip:

EMail:

Phone

Fax

Is this a:
New Membership Renewal

Web Site URL:

Uniform Resource Locatior: the address of your website.

Subject for Sports Guide & Membership Listing (Gold & Silver Level):

IE: ACcounting, Hotel, Banking, Education, Sports, etc.

Please Check One Membership Level:
Gold- $500
Silver - $100
Bronze - $50
Elite (Hotels Only) - $500

*Important information about Membership Levels

Please provide names, phone numbers, and e-mail addresses of your secondary members below (Gold & Silver):

	Name	Phone	E-mail
1.
2.
3.
4.

General Mailings:
Send information about your committees
Send me the monthly mailings