Membership Application Form

Members are expected to attend meetings, participate in networking activities, and pay dues annually.

If you are interested in joining the group please complete the following online form. Dues for new members are $60.00 and are required to be submitted with Membership Application Form. Renewal fees for existing members are $50.00 per year. Checks will be returned if for any reason membership is not granted.

After submitting this form please mail $60 check to:
Lakewood Ranch Business Leaders
c/o Steve Danyi, Treasurer
P O Box 48684
Sarasota, FL 34230

Membership application forms are approved by the board and membership chair.

* Note: e-mail is a required field.

Name:
Title:
Business Name:
Business Type:
Address:
Address 2:
City:
Zip Code:
Email Address:
Wed Address
Telephone #:
Fax #:
Comments:

MEETINGS 2009

Membership Application Form