EDC of Okaloosa County; Member Order

EDC Membership Order Form

Join the Economic Development Council;

promote your business and support your community!!

Fill out the following form to place your membership order:

Business Name:
Primary Contact Name:
Address:
City:
State:
Zip Code:
Phone:
Primary Contact E-mail:
Membership Level: Enterprise : $500 twelve month membership Corporate : $1,000 twelve month membership Trustee : $2,500 twelve month membership
Type :	Credit Card Information:
Number :
Expiration :
Back Code :
__________ You are about to submit this form via email. Some browsers will launch a "default" email application and ask if you are sure you want to send. Please select "yes" to send. ___________ 850.362.6467, or toll-free at 800.995.7374 mailto:info@florida-edc.org