Admin

APPLICATION FOR GENERAL MEMBERSHIP
1-10 Vehicles GOLA Membership including Port Canaveral decals is >>>$200.00<<< Total
11-24 Vehicles GOLA Membership including Port Canaveral decals is >>>$300.00<<< Total
25-49 Vehicles GOLA Membership including Port Canaveral decals is >>>$400.00<<< Total
50 & Over Vehicles GOLA Membership including Port Canaveral decals is >>>$600.00<<< Total
Company:
Address:
City/State/Zip:
Your Authorized Representative:
Title:
Office Phone:***
Fax:
E-mail Address:***
Web Page:
>>>VITAL INFORMATION<<<
Business Entity:
What Year Incorporated::
Please email a copy of Corporate Annual Renewal Form to admin@golainc.com
Any d/b/a's
Occupational License from City or County
Business Permit from where:
(list all permit's)		Orlando permit #:
Osceola permit #:
Do you belong to the NLA: Yes (Since )
No, not yet
>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<
This application is not valid until the "GOLA" receives a CERTIFICAT OF INSURANCE from your carrier naming
The "GOLA" as an additional insured with a 30-day cancellation notice to your policy:
Insurance Agent:
Phone:
Insurance Company:
>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<
The following must be submitted with your company application

  1. Copy of business license
  2. Copy of current insurance certificate
    1. Listing each vehicle by vin number
    2. Listing as additional insured Greater Orlando Limousine Association and Port Canaveral Authority
    3. $1000,000 Per Person, $300,000 Per Public Liability, $50,000 Property Damage
    4. Said insurance shall provide that the certificate holder's insurance coverage may not expire until 30 days after written notification.
  3. Mechanical Inspections
    1. Vehicles must have current City of Orlando or Osceola County Permit
    2. Or be inspected by an ASE certified mechanic
  4. Companies requesting Port Canaveral permits must attach the following.
    1. Drivers list with drivers name, driver's license number and date of birth and Orlando Or Osceola badge number.
    2. Copy of vehicle registration
    3. City of Orlando or Osceola Permit number
Applicants accepted as an Active Member by the Board of Directors and the Members Of the Greater Limousine Association Inc. Will entitle the active Member to all benefits and discounts acquired by GOLA.
As an Active Member you and your company agree to abide by the by-laws and code of conduct and ethics set forth by the association. As an active member you agree to attend 6 of 10 meeting's a year. The association year run's from January 1st to December 31st
Vehicle 1
Year:Make:
Model:Color:
# of passengersVin #:
Tag #:Orlando VFH#: Exp.
Vehicle 2
Year:Make:
Model:Color:
# of passengersVin #:
Tag #:Orlando VFH#: Exp.
Vehicle 3
Year:Make:
Model:Color:
# of passengersVin #:
Tag #:Orlando VFH#: Exp.
Vehicle 4
Year:Make:
Model:Color:
# of passengersVin #:
Tag #:Orlando VFH#: Exp.
Vehicle 5
Year:Make:
Model:Color:
# of passengersVin #:
Tag #:Orlando VFH#: Exp.
Vehicle 6
Year:Make:
Model:Color:
# of passengersVin #:
Tag #:Orlando VFH#: Exp.
First Name Last Name MI DOB Drivers License #
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GOLA - Greater Orlando Limousine Association - A Florida Not for Profit Corporation

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