Membership Application

THIS FORM IS FOR NEW MEMBERSHIPS ONLY

If you were ever an SKA member, please click here to login to your existing account and renew membership. Using this form to renew, creates a second account for you, which may result in reminders even though you have already renewed. Thanks for helping us to keep our records straight.

Personal Information - * indicates required entry

Memberships include two household members. You can list a primary member only, or you can include two names in the First Name field (e.g., John and Mary). To include two last names, use a slash between names in the Last Name field (e.g. Smith/Jones).

First Name(s): Middle/Initial: Last Name:

If both household members have email addresses, enter both the primary and additional member email addresses in the appropriate fields below if you both want to receive SKA communications. Please double check email addresses to be sure they are accurate.

Siesta Key Address: City: State: Province (Foreign) Zip Code: - Siesta Key Phone: Fax: Primary Member Email: Additional Member Email:

Optional Membership Information

Are You a Year Round Resident? Residence Type Are You Registered Florida Voter(s)

Other Address Information: Enter your non-Siesta Key Information Here

Mail to my Other Address below Other Address Line 1 Other Address Line 2 Other City Other State Other Province (Foreign) Other Zip/Mail Code Country Other Phone Number SKA General Fund Donation

Annual Membership Fees

Memberships are from January through December for each year and do not auto-renew. Be sure to log into your account to renew your membership at the end of the year.

Individual Household Annual Membership:

Annual Membership ($35)

Thank you for becoming a member of Siesta Key Association!

Optional Legal Fund Donation: