Member Renewal Form

Membership Renewals are from July 1 to June 30.

Name*

First NameMiddle NameLast Name

Member AJLI ID Number

Located in Tidbits emails and Renewal Letters. If you cannot locate it, you may leave this field blank.

Date of Birth*

MonthDayYear

Email*

Confirmation EmailPlease confirm your email by typing it twice.

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Primary Phone Number*

Please enter a valid phone number.

YES, this phone TEXTSNO, this phone does NOT TEXT

Employer / Retiree Status

OPTIONAL

Job Title

OPTIONAL

Active MemberDistinguished Active MemberSustainer MemberFuture Sustainer Member (Current Active planning to go Sustaining in the NEXT League Year)Emeritus Member (age 80+)

All Dues Payments can be accepted Online or in the form of a Check.

Dues are $135 for Active Members and $100 for Sustaining Members.

Please mail all checks to:

Junior League of Springfield
2800 Montvale Dr.
Springfield, IL, 62704

Payments can also be made online using Square.

If you pay online, you will be assessed a small additional fee.

Credit Card (via Square)CheckA combination of Credit Card and Check

Dues paid all at onceDues paid with a payment plan

If you would like to make an ADDITIONAL Donation to the Junior League of Springfield, IL, please be sure to indicate if that donation is for a specific fund either in the memo line (CHECK) or in the notes section (ONLINE).

You may donate online here!

Membership Renewal Form

All Dues Payments can be accepted Online or in the form of a Check.