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Membership Application (if anyone finds a problem with filling out this application through the website, just simply download our printable copy and send it to the P.O. Box listed on the home page.)


First Name *
Last Name *
Agency/Organization
Street Address *
City *
State *
Zip Code *
Work Phone #
Fax Phone #
Cell Phone #
Home Phone #
E-mail Address
Alternate E-mail Address
Membership Type *
Membership Level *

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The membership information provided is the property of the FNVWS and is not sold or shared with anyone else.

Florida Network of Victim Witness Services
P.O. Box 7312
Tallahassee, FL  32314-7312