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Membership Application
First Name
*
Last Name
*
Middle
Legislator Type:
Senator
Representative
Delegate
Member of Assembly
Membership Type:
New Member
Renewal
Alumni
Party Affiliation:
Democrat
Republican
Independent
Other
District Number:
Street Address (Legislative Office)
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City (Legislative Office)
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State (Legislative Office)
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Alabama
Alaska
American Samo
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code (Legislative Office)
*
Phone Number (Legislative Office)
*
Staff Contact (Legislative Office)
E-mail (Legislative Office)
*
Website (Legislative Office)
Street Address (Home Office)
City (Home Office)
State (Home Office)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code (Home Office)
Phone Number (Home Office)
Leadership Positions
Committee Assignments
Legislative Dues
You may select membership for a 2-year term or a 4-year term
Which would you like?
*
2-Year Term ($100)
4-Year Term ($200)
Payment Information
Online membership is processed through PayPal.
Please click "Continue" below to complete your membership online
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Thank you for joining ALEC.
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