CEA Membership Form

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CEA Membership Form

If you would like to join County Executives of America today, you can fill out this easy membership form and mail or fax it to the address listed below. 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 us at mmcguire@countyexecutives.org or call 202-628-3585 or call toll-free at 1-800-296-8438.

Name or Name of Applying Official:

Title:

County or Corporate Name:

Street Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Name of Assistant or CEA Liaison: