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HomeMy WebLinkAboutInv# 23436FCCMA2223 - FCCMA - 02/20/2023Florida City and County Management Association PO Box 1757 Tallahassee, FL 32302-1757 Candido Sosa-Cruz, Deputy City Date Customer ID Contact 23436 Bill ID 2/20/2023 Invoice 23436 23436FCCMA2223 Bill To:Home address (optional): Candido Sosa-Cruz, Deputy City Manager City of Dania Beach 100 W Dania Beach Blvd Dania Beach, FL 33004-3643 Phone: (954) 924-6800 FCCMA Membership Category: FULL Fax: (954) 921-2604 Salary (used for full mbr dues calc):$175,000.00 Home/cell phone (optional): (786) 663-1738 þ ICMA Member (FULL) E-mail: csosacruz@daniabeachfl.gov ¨ ICMA Credentialed Manager Directory images: Submit by e-mail. Must be at least 300 DPI. The file must be saved in either JPEG or TIFF format. Ethics: I hereby expressly agree as a condition of membership to abide by and will otherwise be governed by the Association ’s Charter, Bylaws and ICMA Code of Ethics. All FCCMA members (except corporate and life members who received a waiver from the Board of Directors) are required to complete four (4) hours of ethics training to maintain his /her membership with FCCMA. All training must be completed every year by September 30. By signing below, I affirm that I have completed the ethics training for the previous fiscal year. Communications Compact: By virtue of my payment of membership dues, I hereby authorize the FCCMA to send organization-related communications to me via fax or e -mail at the fax number or e-mail address currently on record with FCCMA, unless I contact crussell@flcities.com and request to be removed from the mailing list. FCCMA Member Signature:Date: Qty Item Number Description Unit Price Ext. Price 1 FCCMA_DUES $525.00 $525.00 FCCMA Membership Dues (2022-2023) National Association of County Administrators (NACA) Membership (optional): You can join NACA at a reduced rate of $50 per year (compared to $175). Return payment with your FCCMA dues by December 31st, 2022. Your username: csosacruz@daniabeachfl.gov FCCMA staff is not allowed to handle credit card numbers in any manner (printed, by phone, etc.); however, we do encourage dues payment by credit card via our website. Please visit www.fccma.org and click on member login. Please do not write your credit card number on this invoice. If you need login assistance, please contact Carol Russell at (850) 701-3607 or crussell@flcities.com. MEMBERSHIP WITH THIS ASSOCIATION IS NON-TRANSFERABLE. Payments to the Florida City and County Management Association are not deductible as charitable contributions for Federal Income Tax purposes. However, they may be deductible under other provisions of the Internal Revenue Code. Please return a copy of this form with your payment. Mail: PO Box 1757, Tallahassee, FL 32302-1757. Fax: (850) 222-3806. E-mail: crussell@flcities.com