Membership Application Form

A Non-Profit Organization of Former and
Current Florida Prosecutors
To Pay by Credit Card Fill out Form below

Purposes: Education and assistance on criminal justice issues; business development, social events, support base.

Eligibility: To be eligible, you must be a current prosecutor (all current prosecutors are eligible regardless of their length of service) OR have been a prosecutor in any Florida jurisdiction (state or federal) for at least two full years.

To pay by credit card, please fill out form below and credit card information on next page. To pay by check, please print and mail this form with your check.



Membership Application Form
Name:
Phone:
E-mail Address:
Address:
City:
State:
Zip Code:
Practice Areas:
Years you were a prosecutor: (1990-1993, for example)
Jurisdiction(s) in which you were a prosecutor:
Comments/questions:


“I certify that I am currently a prosecutor OR have previously served as a prosecutor in the State of Florida for at least 2 years, and that all of the above information is true and correct.”
Yes
No

 

 

 


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