Membership Application

Membership dues are $250 and include all Council benefits.

Please complete your application online and follow up with a check by mail, or download the application and mail it along with your check.

Please make your check payable to INDIAN RIVER ESTATE PLANNING COUNCIL.

Mail your check to:
Indian River Estate Planning Council
PO Box 2098
Vero Beach, FL 32961-2098.

To attend as a Guest, please contact:
Blanche Necessary
Membership Coordinator
bencssry@aol.com.

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Name:

Phone:

Firm Name:

Firm Address:

Website:

Email:

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Membership Status:

Renewing

New Member

Discipline:

Attorney

Trust Officer

Chartered Life Underwriter

Certified Public Accountant

Certified Financial Planner

Other: (Please Specify)

Professional Designations:

What estate planning topics are you interested in hearing about and discussing at our meetings?

Would you recommend a speaker (you may volunteer yourself)? Please indicate the topic.

Date:

Signature:

* Please fill out all required fields

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Post Office Box 2098 Vero Beach, FL 32961-2098 www.irepc.org
EIN: 59-2140522