Membership Form Complete the form if you are interested in becoming a Drive Electric Florida member. Contact Information Applicant Name (required) Applicant Email (required) Applicant Phone Your Message Organization Information Membership Type Applied for: (required) National and International Automakers - $5,000Automobile Dealerships - $500Investor Owned Utilities - $10,000Municipal Utility/Electric Cooperative (>100,000 customers) - $2,500Municipal Utility/Electric Cooperative (<100,000 customers) - $1,000Large Business (>250 employees) - $7,500- Florida based Large Business - $5,625Medium Business (50-249 employees) - $5,000- Florida based Medium Business - $3,750Small Business (10 to 49 employees) - $1,000- Florida based Small Business - $500Micro Business (<10 employees) - $500- Florida based Micro Business - $375Support Organizations (Non-profit Environmental/Alliance, Publishing, Other) - $500Universities/Colleges - $1,000State Agencies - $1,000Local Governments (with populations >100,000) - $1,000Local Governments (with populations <100,000) - $250EV Enthusiast - $50Student - $50 Organization (required) Website (required) Street Address (required) City (required) State (required) Zip (required) Description of Organization (required) Organization's Presence in FL (required) Organization's PEV Programs (required) Organization's Interest in Joining DEF (required) Value Organization Brings to DEF (required)
