TED Center ONLINE APPLICATION - TED Center Mid Level Membership - $175.00 (annual)

Company Name:

First Name:

Last Name:

Home Address:

City / State / Zip Code:

Business Phone:

Home Phone:


Have you ever taken any business courses or workshops?


       If yes, please explain:

What type of business do you plan to start?

If starting a new business, do you have experience in that field?

How Long?

What type of experience?

Do you currently own a business?

If yes, how long?

Current number of employees?

Is your business legally established in the State of Florida?

If yes, Fictitious name?

What year was it established?

Business Type?


Do you have a valid County and City Occupational License?

Are you certified through any other agencies?


© TED Center 2013. All Rights Reserved.
  Please complete all fields
Once you have filled out the membership form you may pay with your credit card through Paypal.
The Center for Technology
Enterprise & Development, Inc
The Center for Technology
Enterprise & Development, Inc
Mid Level