Latino Officers Association Florida
Business membership form
www.loafla.org
P.O. Box 44-0581
Miami, Fl 33144
1.877.466.8741
Business Name:__________________________________________________
Business Address:________________________________________________
Telephone:_______________________ e-mail:________________________
Type of Business:______________________ years in Business:____________
Contact person name _______________________________________________
best time to call:____________
Membership Business fee $100.00 for year
How would like your donation to be used check below.
General Fund( ) Legal Defense( ) Compasión En El Barrio( ) Scholarship( )
Faith Based Academy ( )
Failure in compliance with the mission statement may result in removal of membership
Signature:_______________________________________________________________
Actions Speak Louder Than Words
For official uses only
Form number 05-01
online application
Business membership form
www.loafla.org
P.O. Box 44-0581
Miami, Fl 33144
1.877.466.8741
Business Name:__________________________________________________
Business Address:________________________________________________
Telephone:_______________________ e-mail:________________________
Type of Business:______________________ years in Business:____________
Contact person name _______________________________________________
best time to call:____________
Membership Business fee $100.00 for year
How would like your donation to be used check below.
General Fund( ) Legal Defense( ) Compasión En El Barrio( ) Scholarship( )
Faith Based Academy ( )
Failure in compliance with the mission statement may result in removal of membership
Signature:_______________________________________________________________
Actions Speak Louder Than Words
For official uses only
Form number 05-01
online application