Membership Application and Renewal Form

Please fill out the following form to become a member or renew membership with SLECA.

After you complete your application, you may submit it online. If you do not get an acknowledgement page thanking you for your submission, then your application form did not transfer. We recommend that you print your completed application form before clicking on the submit button. (You can not save a completed version of the application on your computer.) If your online submission was not successful you may submit your printed application by snail mail to:

P.O. Box 13852 Tallahassee, FL 32317
SLECA’s FEID number is: 59-3659797

Membership dues may be paid by check or by major credit card, including Visa, (P-Card Included), MasterCard and American Express. For payment by a credit card, please contact Evangelina Brooks at 772-519-0172.

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