Please complete the Corporate Membership form below. This is a requirement for FCCMA membership.
After Hours Number:
Type of Services Company Provides:
Governments in Florida that your Company has worked with:
If yes, ICMA Membership Category:
How did you hear about FCCMA?
If you have worked with governments in Florida, please indicate below your two references:
We may contact these persons to verify their endorsement of you?
Type characters above:
By my signature below, I certify that the information supplied above is true to the best of my knowledge. I have read and agree to comply with the Code of Ethics of ICMA and FCCMA to the extent that they apply to private companies.