Join FRLA

Business Information

Company DBA*

Location Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Billing Contact Name*

First Last

Email*

Primary Billing Contact Phone*

MAILING/BILLING ADDRESS*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Membership Information

Membership Type*

Dues Amount

Price:

Select Annual Sales Volume To Determine Dues Amount*

Additional Restaurant Locations

Price: $121.00

Select Room Count Level To Determine Dues*

Enter Room Count

Price: $7.87

Enter Room Count

Price: $6.88

Select Annual Sales Volume To Determine Dues Amount*

Number of Additional Contacts or Chapters

Price: $225.00

PAC Contribution (Optional)

Amount

Educational Foundation Contribution (Optional)

Amount

Total

$0.00

Additional Unit Information

If you are paying for an additional restaurant location, please include contact person and location information.

Additional Unit Business Name

Please include the DBA of the additional location.

Additional Unit Location Information

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Unit Contact Name

First Last

Additional Unit Contact Email

Additional Contact / Chapter Information

If you are paying for an additional contact and/or chapter, please provide the information below.

Additional Contact Name

First Last

Additional Contact Email

Choose Your Additional Chapters

Choose the chapter you are located in and/or you would like to receive meeting and event notifications for.

Additional Contact Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

General Manager / Other Contact

For restaurants & hotels, you may list additional contacts that you would like to receive meeting & event notifications.

First Name

Last Name

Job Title

General Manager / Other Contact Phone

General Manager / Other Contact Email

Chapter Selection & Payment

Choose Your Primary Chapter

Choose the chapter you are located in and/or you would like to receive meeting and event notifications for.

Who referred you?

If there was an FRLA staff person who assisted you with your membership, please include them here.

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Join the Florida Restaurant & Lodging Association!

Business Information

Membership Information

Additional Unit Information

Additional Contact / Chapter Information

General Manager / Other Contact

Chapter Selection & Payment