Please fill out the form below to sign up for FDLA membership or sponsorship. These memberships or sponsorships can be renewed annually.

All fields marked with a * are required:
Prefix*
Name:*
Organization:*
Organization Type:*
Primary Job Duty:*
If you selected Other for your Primary Job Duty, please specify
Membership Type:*
Address:*
Address 2:
City:*
County:*
State:*
ZIP*
Phone:*
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E-mail Address:*

 

*Click on the Submit button to process your membership (Your membership won’t be activated until your payment is received).
*Please return to the Membership page to complete your payment via Paypal.  You may also submit your membership dues by check.  Please make your check payable to FDLA and send it to: FDLA, c/o Dr. Hui Fang Su, 2150 Areca Palm Road, Boca Raton, FL 33432