FSI Individual Membership Form

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Include a submember in your membership registration

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2nd Magnitude Annual Member

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Want to forgo membership gifts?

Yes, I would like to forgo my membership gifts. I would like my full payment to help protect Florida's springs.

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First Name *

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Company

Company Name

Phone

Email *

Address Line 1 *

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Zip/Postal Code *

Country *

Data Privacy & Consent

Yes, I would like to receive communications from Florida Springs Institute by email.

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Include a submember

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Choose Existing Contact(s)

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I would like to automatically renew my membership

First Name *

Last Name *

Address Line 1

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City

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Add {{subMemberDisplayName}}

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Discount Code

Code:

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Order summary

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Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Billing address is the same as mailing address

Address Line 1

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Zip *

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I will mail in a check or money order

Please mail your payment to:
18645 High Springs Main Street
High Springs, FL 32643

Amount:

{{formatAmount(totalAmount)}} USD

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The Florida Springs Institute is a 501(c)(3) non-profit. All or a portion of your donation may be tax deductible. FEIN 46-1663401.

FDACS Registration #CH38941, Expiration Date: 6/28/2028

A copy of the official registration and financial information may be obtained from the division of consumer services by calling toll-free (800-435-7352) within the state.
Registration does not imply endorsement, approval, or recommendation by the state.

Photo taken by David Schrichte.

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
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No contacts.