Membership Application/Renewal

MUNICIPAL MEMBERSHIP

Form for New Membership or Membership Renewal

*Required Fields
Membership Year (July 1 - June 30)
Membership Type

Membership Renewal/UpdateNew Membership
Member Organization Name*
Contact Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Website URL
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership Category and Dues

Pick only one: Municipal, Associate (For-Profit), or Associate (Non-Profit)
Member Type*

Municipal Member - i.e. City or Borough
Population:*
*Sources: Alaska Department of Commerce, Community and Economic Development, Community and Regional Affairs Community Database; and US Census Bureau
Your Population
$0.65/person
Total Owed:
The terms of membership are from July 1 through June 30. Thank you for your membership investment and support!
Calculation
Amount Remitted:
Payment Type*

CheckCredit Card
Please consider paying by check if possible, as about 3% of dues paid by credit card are taken out before we receive them to cover credit card processing fees. Thank you.
To pay by check, please make payable to: Southwest Alaska Municipal Conference

Mail to:

SWAMC
721 Sesame Street, Suite 1A
Anchorage, AK 99503

MUNICIPAL MEMBERSHIP