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Policy & Legislative Priorities Member Directory Job Board

Application | AMPLIFY Clearwater

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Organization Information (to be displayed online)

Organization Name

Address 1

Address 2

City

State

Zip

Phone

Fax

Website

Main Contact

Copy from Organization-Information

First Name

Last Name

Address 1

Address 2

City

State

Zip

Title

Phone

Additional Contacts

Add/Remove Contacts

Contact 1

First Name

Last Name

Title

Email Address

Contact 2

First Name

Last Name

Title

Email Address

Contact 3

First Name

Last Name

Title

Email Address

Contact 4

First Name

Last Name

Title

Email Address

Contact 5

First Name

Last Name

Title

Email Address

Contact 6

First Name

Last Name

Title

Email Address

Contact 7

First Name

Last Name

Title

Email Address

Contact 8

First Name

Last Name

Title

Email Address

Contact 9

First Name

Last Name

Title

Email Address

Contact 10

First Name

Last Name

Title

Email Address

Billing Address (if different)

Address 1

Address 2

City

State

Zip

Mailing Address (if different)

Address 1

Address 2

City

State

Zip

Additional Information

Keywords

Areas of Interest

Business Assistance Information
Economic Development
Government
Networking Events
Special Events
AchieveHERs
Tourism
CYP

I understand that by providing my mailing address, e-mail address, telephone number and fax number, I consent to receive communications sent by or on behalf of the AMPLIFY Clearwater (and its affiliates and subsidiaries) via regular mail, e-mail, telephone and/or fax.

Membership Investment

Membership Type

Primary Directory Category

Additional Directory Categories

Select additional directory categories below by holding the "CTRL" key

Number of Employees

Total

Payment Type

NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.

Credit Card Information

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Credit Card Type MastercardVisaDiscoverAmex

Credit Card Number

Name on Card
Security Code
Valid Through
Address
City
State
Zip
Phone
Credit Card Email Address

By submitting this application you confirm that your organization aligns with the mission of AMPLIFY Clearwater which is to promote and meet the needs of businesses, tourism, and industry and to provide leadership for the advancement of economic vitality and equality for the community of the North Pinellas Region.

Please click submit only one time. The transaction may take several seconds.

Contact us

727-461-0011

Photos courtesy of Visit St Pete/Clearwater & Guide to Greater Tampa Bay

Downtown Office
600 Cleveland St., Suite 100
Clearwater, FL 33755

Beach Office & Visitor Center
429 Poinsettia Ave.
Clearwater Beach, FL 33767

Pier 60 Visitor Center
1 Causeway Blvd.
Clearwater, FL 33767

South Beach Visitor Center
Located inside the Surf Style Mega Store
311 South Gulfview Blvd.
Clearwater Beach, FL 33767

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Contact 1

Contact 2

Contact 3

Contact 4

Contact 5

Contact 6

Contact 7

Contact 8

Contact 9

Contact 10

Contact us

727-461-0011

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