Logo Individual Membership

Point of Contact Information







Mailing Address








Organization Information (if applicable)



Finance Contact (if applicable)



       

Individual Membership 2025 Annual Member Fee (Under 26) - $0
Annual Individual Membership for individuals under 26 years of age.
Individual Membership 2025 Annual Member Fee - $75
Annual Individual Membership fee for individuals 26 years of age and older.
ADD ON: Young Person Sponsorship - $25
Add $25 to support young people as advocates. My contribution directly supports training and travel for youth and young adults to engage in advocacy on the federal level.
TOTAL: 
    


Please click "Submit" below in order to submit this form and be redirected to Paypal to complete payment via credit card or PayPal if payment is due.