2025-2026 Annual Partner Registration Form

2025-2026 Annual Partners Registration

Name(Required)

First Last

Annual Partner Contact

Company Name(Required)

Website(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Company Address

Street Address Address Line 2 City State ZIP Code

As part of your Annual Partnership, the FPCA will use your company profile information to advertise and share with our membership. Please provide a brief description of your company.

Company Profile(Required)

Using the 2025-2026 Annual Partnerships Guidebook, please indicate what level of partnership your company is seeking.

Annual Partnership Levels(Required)

Titanium - $50,000

Diamond - $40,000

Platinum - $35,000

Gold - $20,000

Silver - $15,000

Bronze - $5,000

Package Add Ons

$5,000 Training Sponsorship (exclusive)

$2,500 Training Sponsorship (shared)

New Chiefs Training, Future Chiefs Training, and/or the CORE Executive Assistant Training networking events with speaking opportunity.

Upon completion of this form, FPCA Marketing and Membership Coordinator Lori Mizell will be in contact with you to arrange payment options and review your package selection. If you have any questions, please contact the FPCA at 850-219-3631.