Member Application

Dues payment will be prompted upon submission of this form. Forms received without payment may not be processed.

Goverment Member Dues $200
Affiliate Member Dues $400
Large Goverment/Risk Pool Member Dues $400

*Only public entities have voting privileges

Please note: Up to two members (five for large government/risk pools/affiliate) may attend each quarterly meeting for the annual dues paid. Additional employees from a member organization may attend for an additional fee of $20 per person per meeting. If dues are not current the fee to attend a single meeting is $50.00 per person.

 Affiliate
 Government
 Large Government/Risk Pool