Membership Application/Renewal

Southwest Alaska Municipal Conference

July 1 to June 30

Form for New Membership or Membership Renewal

*Required Fields
Membership Year (July 1 - June 30)
Membership Type

Membership Renewal/UpdateNew Membership
Member Organization Name*
Contact Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Website URL
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Membership Category and Dues

Pick only one: Municipal, Associate (For-Profit), or Associate (Non-Profit)
Member Type

Municipal Member - i.e. City or BoroughAssociate (For-Profit)Associate (Non-Profit) - i.e. Tribal/Traditional Council, University, Organization, etc.
Population:
*Sources: Alaska Department of Commerce, Community and Economic Development, Community and Regional Affairs Community Database; and US Census Bureau
Your Population
$0.65/person
Total Owed:
Please remit the following amount based on your company's gross revenues for the previous year:
Gross Revenues:
Please remit the following amount based on your organization's annual budget:
Annual Budget:
The terms of membership are from July 1 through June 30. Thank you for your membership investment and support!
Calculation
Amount Remitted:
Payment Type*

CheckCredit Card
Please consider paying by check if possible, as about 3% of dues paid by credit card are taken out before we receive them to cover credit card processing fees. Thank you.
To pay by check, please make payable to: Southwest Alaska Municipal Conference

Mail to:

SWAMC
3300 Arctic Blvd., Suite 203
Anchorage, AK 99503

Should be Empty:

Southwest Alaska Municipal Conference

July 1 to June 30

Membership Category and Dues

Credit Card