Membership Application

Annual membership fees are due in June. Membership fees are adjusted during the calendar year to accommodate those who do not join in June.

Please note that your attendance fees for the September conference include a year of membership.

Join between June 1 and November 30: pay the annual $50 fee, with renewal due the following June.
Join between December 1 and February 28: pay a pro-rated fee of $50 to cover membership until the next June renewal cycle.
Join between March 1 and May 31: pay the annual $50 fee, with membership being extended to the following June.

After submitting this form, you will be taken to a page with more information about how to submit your payment.

Name*
First Last
Phone*
Email*
Organization or Agency Name*
Position, Title, or Rank*
Status*
- Active
- Retired
Mailing Address*
Street Address Address Line 2 City State Zip
Payment Method*
- Check (payable to PSPSA)
- Other (specify below)
Additional Payment Method information
Comments or Questions
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