Florida Rental Dealers Association
2007 Member Application
4440 Adamo Drive Suite 401
Tampa, FL 33605
Phone: 813-241-0607
Fax: 813-241-0560
Company Name :
DBA :
FRDA Contact :
Title :
E-mail Address :
Home Office Address :
Phone Number :
FAX Number :
I am a Rent-to-Own Dealer
I am an APRO member
I certify that I have
stores in Florida. Number added in 2006
Annual dues (check enclosed/sent via mail)
Greater of $150 Minimum Dues or
Stores x $50
$
PAC Fund Contribution (Suggested Minimum of $100 to Maximum of $500 allowed by state law)
$
TOTAL AMOUNT DUE**
$
**If you have submitted this application online, please forward your payment payable to FRDA, ATTN: Terry Beville, 4440 Adamo Drive Suite 401, Tampa, FL 33605
Rent-to-own dealers in Florida who pay greater of $150 Company Minimum or $50 per store for annual membership dues are voting members. Please send a list of all store locations with your payment if they do not fit in the space below.
Store 1:
Store 2:
Store 3:
Store 4:
Store 5:
