Member Application Step 1: Member Info Step 2: Additional Info Step 3: Primary Contact Step 4: Billing Contact Step 5: Membership Options Step 1: Member Info Company Name * Please add your company name. Leave Blank Phone * Please add your company phone number. Website Email * Please add a valid email. Physical Address Address line 1 * Please add your address. Address line 2 Country * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Mailing Address Same as physical address Address line 1 Address line 2 Country Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen City State Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State Postal Code Social Network Addresses LinkedIn Facebook Step 2: Additional Info Business Description (500 char max) Business Keywords (enter a space between words) Directory Category * Choose... Accountants / CPA's Accounting / Bookkeeping Advertising Agencies Advertising Specialities Agriculture Agriculture Service Air Boat Tours Air Conditioning Air Conditioning, Heating & Refrigeration Airports, Municipal Antiques & Collectibles Apartments Architects Art & Gift Gallery Art Gallery Assisted Living Facilities Attorneys Attractions Auto - Dealers, New & Used Auto - Parts Auto - Repair & Service Auto - Tires, Service Banks/Financial Institutions Barber Shops Baseball Teams Beauty Salons Bed & Breakfast & Event Center Boat Dealers & Repairs Bookkeeping, Accounting and Payroll Bowling Center Business Services Business Services - Consulting / Coaching / Team Building Cable TV Sales / Service Camps / Retreat Centers Carpet / Upholstery Cleaning Caterers Cattle Ranch Chamber of Commerce Child Birth/Doula Churches Citrus Growers Civic Clubs, Community & Non-Profit Organizations Cleaning Services Clock Store - Retail College / University Computer Services Computers Construction - Commercial Construction - Residential Consultants - Marketing & Fundraising Consultants - Team Building Contractors - Electrical Contractors - General Contractors - General, Retired Contractors - Home Improvement Contractors - Restoration Contractors - Roofing Contractors - Site Development Counseling Country Clubs - Private Credit Card Processing Credit Unions Dance Instruction Demolition Contractor Dentists Department Store Digital Imaging Services Document Services Donut Shop Economic Partner Education - Resources, Training & Consulting Educational Consulting Electricians Embroidery & Custom T-Shirts Employment Agencies Engineering Entertainment Environmental Consulting Environmental Organizations Events: Banquet Hall, Venues & Planning Excavation Fashion Accessories, Jewelry, Clothing Finance Companies Financial Planning & Services Financial Services Firearms/Weapons - Cleaning & Accessories Fishing Guide Fishing Resorts Fitness Centers Fleet Services Flooring & Decorating Retail Store Florists Food Service Supplies / Disposables Food Truck Foreign Language Instruction Fuel - Oil Funeral Homes Furniture, Appliances, Electronics & Bedding Garbage Removal Gift Shops Gifts & Home Décor Glass & Mirrors Golf Courses Government - City Government - County Government - National Government - State Graphic Design Grocery Stores Grove Maintenance & Sales Hair Salon Hardware Health & Wellness Education Healthcare Hearing Aid Specialists Heating & Air Conditioning Sales & Service Home Décor/Vintage Home Health & Medical Equipment Home Health Agencies Home Senior Care Horticulturist Hospice Hospitals Hotel/Motel Housing Developments Ice Cream Shop Industry Insurance Services Investigation Services Investments Janitorial Supplies Jewelers Kitchen Specialty Landscaping & Supplies Laundromat (self-serv) & Dry Cleaners Laundromat/coin operated-self service Law Lawn & Shrub Spraying Lawn Maintenance Legal & Identity Theft Services, Pre-Paid Lumber Supplier Manufacturers Market Research Marketing Massage Therapy Massage, Skin Care & Nails Medical Office Medical Spas Men's Retail Mobile Detailing & Pressure Washing Mobile Home Communities/Rentals Mortgage Brokering Motorcycles - Sales, Service and Parts Moving & Storage News & Publications Non-profit Non-profit Educational Office Furniture Office Products & Supplies Organization Party Supplies / Event Planning Paving Payroll Services Pest Control Pharmacies Philanthropy Phosphate Reclaimation Photography Photography & Video Production Physical Therapy Physicians - Cardiology Physicians - Chiropractic Physicians - Dermatologist Physicians - Ear, Nose & Throat Physicians - Family Physicians - Internal Medicine Physicians - Medical Clinics Physicians - Ophthalmology / Optometrists Physicians - Orthopedic Surgeon Physicians - Pediactrics Physicians - Podiatrist Physicians - Radiology Physicians - Surgeons Piano Retail Plumbers Police Department Printing Produce Propane - Fuel Oil Properties / Rentals Property Management Property Rentals Psychology Public Service Organizations Radio Station Ranches Real Estate Appraiser Real Estate Brokers & Agents Real Estate Investment Real Estate-Retirement Manufactured Homes Recreational Vehicles Recycling / Scrap Metal Restaurants / Bar & Grill Retail Retail Apparel Retired Partner Retirement Communities Roads - Driveways Roll Off Services RV Parks / Resorts Salon / Spa / Boutique Sand/Silica Schools - Charter Schools - Private Schools - Public Schools - Vocational Screen Printing & Embroidery Seasonal Rentals Secretarial Services Security - Residential / Commercial Security Agency Executive Protection Segway Tours - Guided Senior Housing Shopping Center Signs Skilled Nursing Facilities Software Staffing Agency Storage Surveyors T.V. / Appliance Service & Sales Tanning Tattoo & Piercing Tax Preparation Technology / Managed Printed Services Theaters Title Companies Tourist & Visitor Information Towing Transportation Tree Maintenance Truck & Trailer Parts & Service Truck Lifts & Accessories Trucking / Transportation Broker Utilities Vacation Rental Homes Veterans Organizations Veterinarians Water Filters & Filtration Systems Website / Internet Design & Hosting Welding & Fabrication Window Tinting Winery Please select a directory category. Full-time Employees * Please add your number of full-time employees. Part-time Employees * Please add your number of part-time employees. About Us Step 3: Primary Contact First Name * Please add your first name. Last Name * Please add your last name. Title Phone * Please add your phone number. Cell Phone Fax Email * Please add a valid email. Contact Preference Email Phone Address Same as Address in Step 1 Address line 1 * Please add your address. Address line 2 Country * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Social Network Addresses LinkedIn Facebook Create Account This Login is already in use Login Password Step 4: Billing Contact Same as Primary Contact First Name * Please add your first name. Last Name * Please add your last name. Title Phone * Please add your phone number. Cell Phone Fax Email * Please add a valid email. Contact Preference Email Phone Address Same as Primary Contact Address Address line 1 * Please add your address. Address line 2 Country * Choose... Afghanistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Belgium Belize Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands British Virgin Islands Brunei Bulgaria Cambodia Cameroon Canada Caribbean Chile China Colombia Congo (DRC) Costa Rica Côte d’Ivoire Croatia Cuba Czechia Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Faroe Islands Finland France Georgia Germany Ghana Greece Greenland Guatemala Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Kuwait Kyrgyzstan Laos Latin America Latvia Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, FYRO Malaysia Maldives Mali Malta Mexico Moldova Monaco Mongolia Montenegro Morocco Myanmar Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Puerto Rico Réunion Romania Russia Rwanda Saudi Arabia Senegal Serbia Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka Sweden Switzerland Taiwan Tajikistan Thailand Trinidad and Tobago Tunisia Turkey Turkmenistan Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Venezuela Vietnam World Yemen Please add your country. City * Please add your City. State * Choose... Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Please add your State. State * Choose... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Please add your State. State * Please add your State. Postal Code * Please add your Postal Code. Social Network Addresses LinkedIn Facebook Create Account This Login is already in use Login Password Step 5: Membership Package Please select a Membership Package President's Circle Plus $ 6,000 annually President's Circle Plus Golf Sponsorship President's Circle $ 5,000 annually President's Circle Investment Economic Partner $ 2,500 annually Economic Partner Investment Financial Institutions $ 1,300 annually Financial Institutions Investment Business Partner 201+ Employees $ 1,250 annually Business Partner 201+ Employees Business Partner 101-200 Employees $ 750 annually Business Partner 51-100 Employees $ 600 annually Business Partner 51-100 Employees Business Partner 31-50 Employees $ 375 annually Business Partner 11-30 Employees $ 325 annually Business Partner 1-10 Employees $ 275 annually Community Partner $ 150 annually Non-Profit, Charitable, and Civic Organizations (including Churches) Real Estate Broker/Associate $ 125 annually (main branch must be a regular member) Retired Partner $ 100 annually Additional Options: Education Donation $10 one time to the Lake Wales Area Foundation (voluntary - annually) Additional $25 one time - Extra Category Listing (annual) Comments/Questions Payment Option Charge my credit or debit card Please complete the Captcha Back Next Submit Application Print Application