Florida State Elks Association Store

1.	Select Lodge:	1-Lodges Outside Florida Apopka Arcadia Aripeka Belle Glade - Pahokee Boca Raton Bonita Springs - Estero Bradenton Brandon Brooksville Cape Coral Clewiston Cocoa Cocoa Beach Crestview Daytona Beach Deep Creek Deland Delray Beach Destin Dunedin/Clearwater Edgewater-New Smyrna Beach Englewood Eustis Florida Keys Fort Myers Fort Pierce Fort Walton Gainesville Greater Pine Island Green Cove Springs Holiday Isles Holley-Navarre Hollywood West Inverness Jacksonville Jupiter Key West Kissimmee Lady Lake Lake City Lake Placid Lake Wales Lakeland Lakewood Ranch Largo Lehigh Acres Live Oak Manasota Mandarin St. Johns Marathon Margate Marianna Melbourne Merritt Island Miami Naples New Port Richey North Fort Myers North Miami Oakland Park Ocala Orange Park Orlando Ormond Beach Palatka Palm Coast Palmetto Panama Canal, PN Panama City Pensacola Beach Perry Pinellas Park Plant City Pompano Beach Port Charlotte Port Orange Port St. Lucie Punta Gorda Rotonda San Juan, PR Sanford Sarasota Sarasota South Sebastian Sebring Seminole Silver Springs Shores South Hillsborough South Lake South Miami\Coral Gables Southwest Broward St. Augustine St. Petersburg Stuart-Jensen Tallahassee Tampa Tarpon Springs Titusville Twin Cities Venice-Nokomis Vero Beach Viera Warrington West Citrus West Palm Beach West St. Lucie Winter Garden Winter Haven Winter Park Zephyrhills
2.	Type of Purchase:	Complete your purchase depending on if you are purchasing a new certificate or making a payment on an existing one.
		Purchase a New Harry-Anna Trust Fund Certificate
HATF Certificate Amount:		$50 HATF Certificate - Paid in Full $100 HATF Certificate - Pay $20 $100 HATF Certificate - Paid in Full $500 HATF Certificate - Pay $50 $500 HATF Certificate - Paid in Full $1000 HATF Certificate - Pay $100 $1000 HATF Certificate - Paid in Full $5000 HATF Certificate - Pay $1000 $5000 HATF Certificate - Paid in Full
HATF Certificate Type:		Member Lodge LOE
		Make a Payment on an Existing Harry-Anna Trust Fund Certificate
HATF Certificate Number:
Payment Amount: