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Pinellas CoC Membership Renewal
Pinellas CoC Membership Renewal

If any information has changed, please submit a New Member application here:www.pinellascoc.org/join
Name *
Title
First Name
Last Name
Phone *
Email *
Mailing Address *
Address Line 1
City
State
Zip
Organization (if applicable)
Job Title (if applicable)
Website (if applicable)
Membership Information
Pinellas County Affiliation *

Pinellas CoC members must live, work, or attend school in Pinellas County, or represent organizations that serve Pinellas County. Applicants that do not meet this criteria are ineligible for membership.
Sliding Fee Scale of 50% available for:
Organizations with an annual operating budget under $500,00 or 5 or fewer employees are eligible for 50% off their annual membership dues. Organizations requesting a sliding fee scale are asked to submit a copy of their annual budget and/or organizational chart to confirm eligibility.
Documentation Upload

Upload documentation HERE.
Membership Type *

More information can be found on membership benefits and levels here: www.pinellascoc.org/join
Membership Dues Payment *
$
Conflict of Interest
Agreement *
Questions and Comments

Any questions, comments, or concerns can be emailed to info@hlapinellas.org
To verify you are human, please enter the number 1 *

Homeless Leadership Alliance of Pinellas
647 1st Ave North, St. Petersburg, FL 33701
www.pinellascoc.org
Info@HLAPinellas.org