Membership
Florida Keys Reef Lights Foundation, Inc.
(check box) (annual) (3 years)
Individual: □ $12 □ $30
Family: □ $24 □ $60
Corporate: □ $50
Supporting: □ $100 or more Life Time $500.00
If a Family Membership: How many total are in your immediate family, including yourself, spouse, and children under age 18: _________
Please enroll me (us) as a member of the Florida Keys Reef Lights Foundation.
Name (title)_________________________________________________________________
Street Address______________________________________________________________
Home Phone _____________________________ Email ___________________________
Enclosed for membership: $____________________
Contribution for Reef Light preservation: $____________________
Total of check enclosed: $____________________
Make check payable to FKRLF and send to:
FKRLF - Membership
c/o Eric S. Martin
1067 Drift Creek Cove
Orlando, FL 32828
FKRLF registration number with the State of Florida for Soliciting Contributions: CH28929
"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."Florida Keys Reef Lights Foundation, Inc. is a Non-Profit 501(c)(3) Organization.