Membership Application

Active Member Application

Fill out the form and you will be sent to the payment link to pay your $35 dues.

Paying by check? Download the membership application (PDF), then mail the completed application and your check to:

Ebrima Jobe
C/O Dept. of Health and Human Services
Stamford Government Center
888 Washington Blvd., 8th Floor
Stamford, CT 06901

Contact us by email with any questions.

Associate Member Application

Fill out the form and you will be sent to the payment link to pay your $40 dues.

Paying by check? Download the membership application (PDF), then mail the completed application and your check to:

Ebrima Jobe
C/O Dept. of Health and Human Services
Stamford Government Center
888 Washington Blvd., 8th Floor
Stamford, CT 06901

Contact us by email with any questions.