FSGA Individual Membership Form

Florida State Guardianship Association
2020 - 2021 Membership Application-Membership Year April 1-March 31
PO Box 1185 Palm City, Florida, 34991
Phone: 800-718-0207 ♦ E-mail: ExecutiveOffice@FloridaGuardians.com

I. Membership Category (Choose the Membership you would like to purchase): Click here for Organizational Membership

From October 1st thru December 31st Memberships will be Discounted. Reduced rate will be displayed on checkout page.

Individual Professional Guardian Membership $ 125.00 individuals who serve as court appointed professional guardians registered with the Statewide Public Guardianship Office
Individual Family/Volunteer Guardian Membership $ 75.00 family members or friends who serve as a guardian for an individual
Affiliated Individual Membership $ 125.00 individuals other than guardians who participate in activities that enhance the role of a guardian, including individual case managers, nurses, physicians, attorneys, social workers and others.

II. Member Information:

SPGO Number

Pending or Other

Prefix	First	Middle	Last	Credential

Name

Business Name

Address

Address 2

City

State

Zip Code

County

Phone

Fax

State House District Number

State Senate District Number

Click here to find your Senate and House District numbers.

E-Mail

Username

Password

Confirm Password

Hide Address

NOTICE TO GUARDIANS:

It is the Policy of the Florida State Guardianship Association that all Guardian members will, as a condition of membership, affirm they have read and will comply with the NGA Ethical Principles, adopted by the Florida State Guardianship Association as a guideline for appropriate practice. Please indicate your affirmation by signing here Ethical Principles may be viewed here.

I Agree
Signature

V. PAYMENT:

Pay with your Credit Card accepts all major credit cards
Offline Payment pay by sending a check

Built on aMember Pro™ membership software

Join FSGA Today!

Become A Member

Display Website
Website URL
Website Display Text