CEA Membership Form

If you would like to join County Executives of America today, you can fill out this easy membership form . County Executives of America will then determine your total dues payment and send you an invoice. County Executives of America believes that all counties, large and small, ought to be represented. So our county dues structure is population-based and can conform to your annual county budget allocation. Associate Members are assessed annual dues of $10,000. If you would like further information or have any questions regarding our association, feel free to email Michael Griffin at mgriffin@countyexecutives.org or call 202-628-3585 or call toll-free at 1-800-296-8438.

FORM_ALL_FIELDS FORM_GENERAL_INFORMATION FORM_FIRST_NAME * FORM_SECOND_NAME FORM_LAST_NAME * FORM_TITLE FORM_DEPARTMENT  FORM_CONTACT_INFORMATION FORM_EMAIL_ADDRESS * FORM_CONFIRM_EMAIL_ADDRESS * FORM_PHONE * FORM_CELL_PHONE FORM_FAX FORM_LOCATION_INFORMATION FORM_CORPORATE_NAME * FORM_ADDRESS_L1 * FORM_ADDRESS_L2 FORM_CITY * FORM_STATE * FORM_ZIP_CODE * FORM_ADDITIONAL_INFORMATION FORM_LIASON FORM_ORGANIZAION_TYPE County Association Commercial Trade Business Consultancy Non-Governmental Organization Chief of Staff Press/Public Relations FORM_QUESTION FORM_VERIFICATION_IMAGE * FORM_VERIFICATION_CODE FORM_ENTER_VERIFICATION_CODE