Membership
Alligator Point Taxpayers Association
Membership Application/Renewal
Simply print and mail this form along with an enclosed check to join
The Alligator Point Taxpayers Association
P.O. Box 213
Panacea, Florida 32346
Name:______________________________________________
Mailing Address:______________________________________
City/State/Zip:________________________________________
Alligator Point Phone :______________ Other Phone:________
Alligator Point Address (required:_________________________
Email Address:_______________________________________
Amount Enclosed: (Make check payable to APTA)
________$20.00 Membership
$________Donation for: _____Turtle Fund, _____ Legal Fund
_____ Other:___________________
Dues paid between October 1, 2005 and
December 31, 2005 remain
current through December 31, 2006.