Application Form

Thank you for your interest in the Mid-Florida Estate Planning Council! We’re excited to connect with professionals who share a commitment to excellence in estate planning.   To join please online using paypal or mail check to:

Mid-Florida Estate Planning Council

c/o Todd Mazenko

1502 N. Donnelly St., Ste. 106

Mount Dora, FL 32757

 

Fill in the information below to apply for Mid-Florida Estate Planning Council membership.

Personal Information

Office Information

Disciplines

Please indicate what discipline(s) you practice.



(Signature of applicant, if printing)
Date: Monday, October 12, 2026

Please contact admin@midfloridaepc.org with questions about council membership.