International  Trade Association Of Polk County

Send To: Attention Hazel Carter

Fax # 863-534-0886

Membership Application

    Name:______________________________________________________________.

    Title:_______________________________________________________________.

    Firm:_______________________________________________________________.

    Mailing Address:_____________________________________________________.

    Street Address:______________________________________________________.

    City:_______________________________________________________________.

    State:______________________________________. Zip:____________________.

    Telephone:__________________________________________________________.

    Fax:________________________________________________________________.

    SIC Code:___________________________________________________________.

    Signature:___________________________________________________________.

   I hereby make application to join the International Trade Association of Polk County. I am engaged in the following business activities/products:

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Membership Dues - $50 Annually

Make Check Payable To:

                       Central Florida Development Council

                            International Trade Association

                            600 North Broadway, Suite 300

                               Bartow, Florida 33830 USA