Application Form
  1. Name(*)
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  2. I am a/an(*)
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  3. Firm
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  4. Address Line 1(*)
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  5. Address Line 2(*)
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  6. Email Address(*)
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  7. Phone Number(*)
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  8. Fax Number
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  9. I wish to propose the following Attorney, CPA or Trust Officer as a potential new member. Please contact him/her.

  10. Name
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  11. Phone
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  12. Email
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  13. Please mail a check payable to VENICE AREA ESTATE PLANNING COUNCIL for $75.00 for the 2019-2020 season to:

    Brad Patton
    Pinkerton Private Wealth
    310 W. Venice Avenue, Suite 201
    Venice, FL 34293