Application Form

	MID-FLORIDA ESTATE PLANNING COUNCIL	MEMBER LOGIN
	MEMBER LOGIN

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

Personal Information

First Name

Last Name

Business Name

Email Address

Website

Office Information

Business Address

Business City

Business State & Zipcode

Business Phone

Business Fax

Disciplines

Please indicate what discipline(s) you practice.

Disciplines

Accountant Attorney Attorney Financial Planner Life Insurance Non-Profit Trust Officer

(Signature of applicant, if printing)
Date: Monday, June 02, 2025

Please contact todd@mazenkolaw.com with questions about council membership.

Mid-Florida Estate Planning Council is affiliated with the National Association of Estate Planners & Councils and joining can fulfill the requirement of belonging to an affiliated local estate planning council to become an Accredited Estate Planner® (AEP®) designee. Please contact the national office at 866-226-2224 to learn more about the Accredited Estate Planner® designation.