USEA Membership Application

Please fill out the information accurately as it will be used in our databases. 

MEMBER REPRESENTATIVE (VOTING MEMBER & INVOICE RECEIPIENT)

Membership Dues Structure

Please check the appropriate category listed below along with your organizations prior year revenue. Annual membership invoices are distributed in January each year. Cancellation of membership must be in writing and signed by the voting member. Members canceling in mid-year are expected to pay prorated dues for that year.

Based on the table above.
Who referred you to USEA membership?