Form Title: Join the FL-14 Fair Fuel Tax Coalition
Form Description: Stand with Tampa’s hospitality, retail, and logistics sectors. By filling out this form, your business authorizes the coalition to include your name on our formal petitions and policy briefs to Governor DeSantis and the Hillsborough County Commission.

Business Name * (Short answer)

Primary Contact Name * (Short answer)

Contact Title/Role * (e.g., Owner, General Manager, Fleet Director)

Email Address * (Short answer)

Phone Number * (Short answer)

Industry Sector *

(Multiple choice)

Restaurant / Bakery / Hospitality

Grocery / Specialty Food Retail

Medical Supply / Pharmaceutical Distribution

Trucking / Logistics / Cold-Chain Transport

Other

Business Physical Address (Must be within or serving FL-14/Hillsborough County) * (Paragraph text)

Coalition Authorization & Privacy *

Yes, I authorize the coalition to include our business name on public letters and policy petitions addressed to state and local policymakers.

Yes, I would like to receive campaign updates and templates to share with my networks.