Florida Environmental Health Association

MAIL IN - FEHA Renewal of Membership

Florida Environmental Health Association
(Includes Subscription to the Florida Journal of Environmental Health)

Manual Renewal Form (for those not wishing to pay by credit card)

After completing the form, Print and Mail with check or money order
payable to:

FLORIDA ENVIRONMENTAL HEALTH ASSOCIATION, INC.
5101 Ortega Boulevard
Jacksonville, FL 32210-8305

Last Name

First Name

Address

City

State

Zip Code

Member No.

FEHA District

Type of Membership:

Specialty Area:

I would like to make a donation to:

Scholarship Fund $

FEHA $

TOTAL PAYMENT $

FLORIDA ENVIRONMENTAL HEALTH ASSOCIATION, INC.
5101 Ortega Boulevard
Jacksonville, FL 32210-8305

(Please print and return this form with your payment.
Check or Money Order may be made payable to "FEHA")

Contact FEHA's Executive Director, Bridget Anderson
if you have any questions.

FEHA is an important organization for you and our state. Your renewed membership supports programs and activities that not only benefit your professional growth, but enhances quality environmental health services for our citizens.

PLEASE TAKE ACTION TO RENEW YOUR MEMBERSHIP TODAY. Do this by completing the above form and returning it with your payment via check or money order. We ask you to make sure your address is correct. If needed, make necessary changes on the form. Please enter your district in the space provided. This will help us in future programs and activities.

THANK YOU

Mail completed application and payment
by check or money order payable to "FEHA" to:
Bridget Anderson
FEHA Executive Director
FLORIDA ENVIRONMENTAL HEALTH ASSOCIATION, INC.
5101 Ortega Boulevard
Jacksonville, FL 32210-8305

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