Applicant Information

    First Name: 
     Last Name: 
         Title: 
        Agency: 
Street Address: 
          City: 
         State: 
      Zip Code: 
    Fleet Size: 
       Sponsor: 
     Telephone: 
           FAX: 
        E-mail: 
           URL:

 

 Additional Members


First Name:
Last Name:
            Title:
Email:


First Name:
Last Name:
            Title:
Email:


First Name:
Last Name:
            Title:
Email:

 

  

Membership Information

Regular and associate membership (Voting) Dues: $65.00 annually, Any jurisdiction
which pays the dues for three members ($195.00) annually, may add additional members
at no cost.

Sustaining Membership (Non-Voting) Dues: $100.00, 
The $165.00 initial vendor fee includes one year dues.

Select the type of membership you want to apply for:

Membership Application Form Submission

If the information submitted is complete and accurate, you will be contacted by
your Sponsor or a Board member with further information. Membership materials
will be mailed to the address you provided above. Confirmation of your online
registration will usually be sent by E-mail within 2 business days.

Thank you for your interest in the Public Fleet Supervisors Association!