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) Automakers - $5,000Utilities - $10,000PEV Charging and Network Service Providers - $10,000Municipal Utility or Electric Cooperative - $2,500Support Organization - $500State, Local Government and Universities/Colleges - $1,000Florida-Based Small Business or Start Up - $500Out of State Small Business or Start Up - $1,000EV Enthusiast - $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)
