Membership Renewal SFLERP Membership Renewal Please enter your information below and click "Submit." Fields with an asterisk (*) are required. "*" indicates required fields Name* First Last Agency/Organization* Email* Contact InformationIf any of your contact information has changed please indicate below. If no changes, please leave blankPosition Title* Business Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*FaxHome Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Affiliation* Labor Management Neutral PaymentSelect Your Membership Type and Dues Level* General Membership: 1 year at $75 General Membership: 2 years at $135 General Membership: 3 years at $200 Student Membership: 1 year at $20 Retiree Membership: 1 year at $50 Sponsored Membership: 1 year at $20 Name of Sponsored Organization Method of Payment* Pay online with your credit card through PayPal, no signup necessary Call us @ 757-537-0635 to renew by phone Mail in with Check Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Total After completing the form, please click the "Next" button below to go to the payment option page. Δ